Seminole Shores Internal Medicine Pc in Muskegon - Sports Medicine
Seminole Shores Internal Medicine Pc - NPI 1467631804
Seminole Shores Internal Medicine Pc is a Sports Medicine in Muskegon, Michigan. Seminole Shores Internal Medicine Pc practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Seminole Shores Internal Medicine Pc is 1467631804. The last update date is 2008-07-01.
Seminole Shores Internal Medicine Pc's current location address is 433 Seminole Rd, Muskegon, Michigan. You can contact this provider via phone number 2317392192 and fax number 2317392343. The mailing address for Seminole Shores Internal Medicine Pc is 433 Seminole Rd, Muskegon, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Seminole Shores Internal Medicine Pc |
|---|---|
| Address | 433 Seminole Rd, Muskegon, Michigan |
| Phone Number | 2317392192 |
| Fax Number | 2317392343 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ogas Anthony Carl |
| Credentials | M.D. |
| Telephone Number | 2317392192 |
NPI Number Detail
| NPI Number | 1467631804 |
|---|---|
| Provider Enumeration Date | 2007-11-02 |
| Last Updated Date | 2008-07-01 |
Provider Mailing Address Detail
| Address | 433 Seminole Rd |
|---|---|
| City | Muskegon |
| State | Michigan (MI) |
| Post Code | 494443743 |
| Phone Number | 2317392192 |
| Fax Number | 2317392343 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Rs0010X |
| Licence No | 4301062711 |
|
Definition: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and exp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1106110251 | MI | BLUE CROSS BLUE SHIELD | |
| 4559980 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Seminole Shores Internal Medicine Pc by the Centers for Medicare & Medicaid Services?
The Seminole Shores Internal Medicine Pc has been issued the NPI (National Provider Identifier) 1467631804, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Seminole Shores Internal Medicine Pc's facilities are situated?
The facilities of Seminole Shores Internal Medicine Pc are physically located at the following address: 433 Seminole Rd, Muskegon, MI, 494443743.
What is Seminole Shores Internal Medicine Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Seminole Shores Internal Medicine Pc's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Rs0010X.
On what date did the Seminole Shores Internal Medicine Pc receive the assignment of its 1467631804 from the Centers for Medicare & Medicaid Services?
The Seminole Shores Internal Medicine Pc was issued its 1467631804 by the Centers for Medicare & Medicaid Services on 2007-11-02.
As of what date were the details pertaining to Seminole Shores Internal Medicine Pc last refreshed?
The information related to the Seminole Shores Internal Medicine Pc, including its address, specialty, and other relevant details, was last updated on 2008-07-01.