Lake Shore Pulmonology, Plc

NPI 1245283696 - Internal Medicine - 207RS0012X

NPI Details
NPI 1245283696
Enumeration Date 05/18/2006
Last Updated 04/08/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK JAMES MARK
Position OWNER/PHYSICIAN
Phone (616) 847-1009
Fax (616) 847-1607
Practice Location
17357 VAN WAGONER RD
SUITE 2
SPRING LAKE MI, 49456-9702, US
Phone (616) 847-1009
Fax (616) 847-1607
Business Location
17357 VAN WAGONER RD
SUITE 2
SPRING LAKE MI, 49456-9702, US
Phone (616) 847-1009
Fax (616) 847-1607
Toxanomy
Taxonomy Code 207RS0012X
License State Michigan
License Number 4301407127
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According to our database, Lake Shore Pulmonology, Plc NPI is 1245283696, taxonomy code is 207RS0012X and license number is 4301407127, license state is located at Michigan. Lake Shore Pulmonology, Plc physically located at 17357 Van Wagoner Rd, Spring Lake MI, 49456-9702. NPI Number 1033115704 has the healthcare provider type.

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1245283696 NPI number is provided on an as is basis without warranty of any kind. 1245283696 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Shore Pulmonology, Plc are for informational purposes only.