Lakeshore Internal Medicine And Pediatric Associates

NPI 1003924739 - Clinic/Center - 261QM1300X

NPI Details
NPI 1003924739
Enumeration Date 08/25/2006
Last Updated 06/07/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BARBARA BARBARA
Position BILLING
Phone (616) 738-0737
Fax
Practice Location
437 NORTH 120TH AVE
HOLLAND MI, 49424, US
Phone (616) 738-0737
Fax
Business Location
437 NORTH 120TH AVE
HOLLAND MI, 49424, US
Phone (616) 738-0737
Fax
Toxanomy
Taxonomy Code 261QM1300X
License State Michigan
License Number 4301074294
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According to our database, Lakeshore Internal Medicine And Pediatric Associates NPI is 1003924739, taxonomy code is 261QM1300X and license number is 4301074294, license state is located at Michigan. Lakeshore Internal Medicine And Pediatric Associates physically located at 437 North 120th Ave, Holland MI, 49424. NPI Number 1033115704 has the healthcare provider type.

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1003924739 NPI number is provided on an as is basis without warranty of any kind. 1003924739 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeshore Internal Medicine And Pediatric Associates are for informational purposes only.