Lakeshore Medical Center, P.c.
NPI #1437239043 in Clinton Twp, Michigan
Provider Information
- NPI Number
- 1437239043
- Entity Type
- Organization
- Organization Name
- Lakeshore Medical Center, P.c.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Oct 23, 2007
Practice Location
- Address
- 33720 HARPER AVE
- Address 2
- SUITE A
- City
- Clinton Twp
- State
- Michigan
- ZIP Code
- 48035
- Phone
- (586) 294-5210
Authorized Official
- Name
- JOHN R PRADKO, D.O.
- Title
- OWNER
- Phone
- (586) 294-5210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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