Ottawa Shores Ent Associates PC
NPI #1861587834 in Grand Haven, Michigan
Provider Information
- NPI Number
- 1861587834
- Entity Type
- Organization
- Organization Name
- Ottawa Shores Ent Associates PC
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1445 SHELDON ROAD
- Address 2
- SUITE 304
- City
- Grand Haven
- State
- Michigan
- ZIP Code
- 49417-2480
- Phone
- (616) 935-6966
Authorized Official
- Name
- MRS. SARAH A COOKE
- Title
- OFFICE MANAGER
- Phone
- (616) 935-6966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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