Shoreline Neurosurgical Consulting, Plc

NPI #1104005065 in Muskegon, Michigan

Provider Information

NPI Number: 1104005065
Entity Type: Organization
Organization Name: Shoreline Neurosurgical Consulting, Plc
Primary Specialty: Specialist
Enumeration Date: Oct 29, 2007
Last Updated: Jun 2, 2009

Practice Location

Address: 1675 LEAHY ST.
Address 2: SUITE 401
City: Muskegon
State: Michigan
ZIP Code: 49442
Phone: (231) 728-4243

Authorized Official

Name: MS. DIANE REEVES
Title: BILLING COORDINATER
Phone: (231) 728-4243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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