Shoreline Family Medicine PC

NPI #1417094459 in Muskegon, Michigan

Provider Information

NPI Number: 1417094459
Entity Type: Organization
Organization Name: Shoreline Family Medicine PC
Primary Specialty: Family Medicine
Enumeration Date: Jan 31, 2007
Last Updated: May 5, 2008

Practice Location

Address: 5933 GRAND HAVEN RD
City: Muskegon
State: Michigan
ZIP Code: 49441-6011
Phone: (231) 799-3300

Authorized Official

Name: MATTHEW N. POWELL, D.O.
Title: PHYSICIAN
Phone: (231) 780-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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