Shoreline Gastroenterology Pc in Muskegon - Specialist
Shoreline Gastroenterology Pc - NPI 1396767422
Shoreline Gastroenterology Pc is a Specialist in Muskegon, Michigan. Shoreline Gastroenterology Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Shoreline Gastroenterology Pc is 1396767422. The last update date is 2020-08-22.
Shoreline Gastroenterology Pc's current location address is 1150 E Sherman Blvd, Muskegon, Michigan. You can contact this provider via phone number 2317372144 and fax number 2317370597. The mailing address for Shoreline Gastroenterology Pc is 1150 E Sherman Blvd, Muskegon, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shoreline Gastroenterology Pc |
|---|---|
| Address | 1150 E Sherman Blvd, Muskegon, Michigan |
| Phone Number | 2317372144 |
| Fax Number | 2317370597 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Power C Guy |
| Credentials | MD |
| Telephone Number | 2317372144 |
NPI Number Detail
| NPI Number | 1396767422 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1150 E Sherman Blvd |
|---|---|
| City | Muskegon |
| State | Michigan (MI) |
| Post Code | 494441871 |
| Phone Number | 2317372144 |
| Fax Number | 2317370597 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4301057496 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4555891 | MI | -- |
Post Comment/ Review Below
What is the Shoreline Gastroenterology Pc's unique identification number?
The Shoreline Gastroenterology Pc has been assigned the NPI (National Provider Identifier) Number 1396767422 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Shoreline Gastroenterology Pc is physically located?
The Shoreline Gastroenterology Pc is physically situated at the following address: 1150 E Sherman Blvd, Muskegon, MI, 494441871.
What is the Shoreline Gastroenterology Pc's area of specialization and corresponding taxonomy classification?
The Shoreline Gastroenterology Pc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When was the Shoreline Gastroenterology Pc's 1396767422 issued?
The Shoreline Gastroenterology Pc's 1396767422 was issued on 2006-07-25.
When was the Shoreline Gastroenterology Pc's information last updated?
The Shoreline Gastroenterology Pc's information was last updated on 2020-08-22.
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