West Shore Womens Practice Pc in Manistee - Obstetrics & Gynecology
West Shore Womens Practice Pc - NPI 1275718900
West Shore Womens Practice Pc is a Obstetrics & Gynecology in Manistee, Michigan. West Shore Womens Practice Pc practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for West Shore Womens Practice Pc is 1275718900. The last update date is 2008-09-11.
West Shore Womens Practice Pc's current location address is 1293 E Parkdale Ave, Manistee, Michigan. You can contact this provider via phone number 2313980222 and fax number 2313980225. The mailing address for West Shore Womens Practice Pc is 1293 E Parkdale Ave, Manistee, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Shore Womens Practice Pc |
|---|---|
| Address | 1293 E Parkdale Ave, Manistee, Michigan |
| Phone Number | 2313980222 |
| Fax Number | 2313980225 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Fuller R Marian |
| Credentials | M.D. |
| Telephone Number | 2313980222 |
NPI Number Detail
| NPI Number | 1275718900 |
|---|---|
| Provider Enumeration Date | 2007-12-31 |
| Last Updated Date | 2008-09-11 |
Provider Mailing Address Detail
| Address | 1293 E Parkdale Ave |
|---|---|
| City | Manistee |
| State | Michigan (MI) |
| Post Code | 496608904 |
| Phone Number | 2313980222 |
| Fax Number | 2313980225 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 4301079496 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MF079496 | MI | STATE LICENSE NUMBER | |
| 1605115302 | MI | BLUE CARE NETWORK PIN | |
| 1605115302 | MI | BCBS PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to West Shore Womens Practice Pc by the Centers for Medicare & Medicaid Services?
The West Shore Womens Practice Pc has been assigned the NPI (National Provider Identifier) 1275718900 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the West Shore Womens Practice Pc's physical address?
The West Shore Womens Practice Pc is physically located at 1293 E Parkdale Ave, in the city of Manistee, MI, with the postal code 496608904.
What is West Shore Womens Practice Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for West Shore Womens Practice Pc is Obstetrics & Gynecology, and the taxonomy code that categorizes this field of expertise is 207V00000X.
On what date did the West Shore Womens Practice Pc receive its 1275718900 assignment from the Centers for Medicare & Medicaid Services?
The West Shore Womens Practice Pc was assigned its 1275718900 by the Centers for Medicare & Medicaid Services on 2007-12-31.
As of what date were the details related to West Shore Womens Practice Pc most recently updated or revised?
The information pertaining to West Shore Womens Practice Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-11.