Lakeshore Surgical Associates PC

NPI #1013973585 in Holland, Michigan

Provider Information

NPI Number: 1013973585
Entity Type: Organization
Organization Name: Lakeshore Surgical Associates PC
Primary Specialty: Surgery
Enumeration Date: Apr 25, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 577 MICHIGAN AVE
Address 2: SUITE 202
City: Holland
State: Michigan
ZIP Code: 49423-4911
Phone: (616) 394-0673

Authorized Official

Name: DANIEL J DECOOK, MD
Title: PRESIDENT/PHYSICIAN
Phone: (616) 394-0673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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