Emergency Health Partners-Lakeshore, Plc

NPI #1346528460 in Shelby, Michigan

Provider Information

NPI Number: 1346528460
Entity Type: Organization
Organization Name: Emergency Health Partners-Lakeshore, Plc
Primary Specialty: Emergency Medicine
Enumeration Date: Jul 22, 2011
Last Updated: Sep 20, 2011

Practice Location

Address: 72 S STATE ST
City: Shelby
State: Michigan
ZIP Code: 49455-1228
Phone: (616) 459-1560

Authorized Official

Name: DR. J. B. GILLELAND, D.O.
Title: MEMBER
Phone: (616) 459-1560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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