Lakeshore Vein &laser Clinic Pllc

NPI 1083753479 - Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X

NPI Details
NPI 1083753479
Enumeration Date 02/05/2007
Last Updated 06/18/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANTHONY G ANTHONY
Position OWNER
Phone (231) 843-2600
Fax (231) 843-2665
Practice Location
5 N ATKINSON DR
SUITE 304
LUDINGTON MI, 49431-2918, US
Phone (231) 843-2600
Fax (231) 843-2665
Business Location
5 N ATKINSON DR
SUITE 304
LUDINGTON MI, 49431-2918, US
Phone (231) 843-2600
Fax (231) 843-2665
Toxanomy
Taxonomy Code 208G00000X
License State Michigan
License Number 5101006766
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According to our database, Lakeshore Vein &laser Clinic Pllc NPI is 1083753479, taxonomy code is 208G00000X and license number is 5101006766, license state is located at Michigan. Lakeshore Vein &laser Clinic Pllc physically located at 5 N Atkinson Dr, Ludington MI, 49431-2918. NPI Number 1033115704 has the healthcare provider type.

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1083753479 NPI number is provided on an as is basis without warranty of any kind. 1083753479 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeshore Vein &laser Clinic Pllc are for informational purposes only.