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Organization
LAKE MICHIGAN OBSERVATION SERVICES PLLC
Active
Organization
LAKE MICHIGAN OBSERVATION SERVICES PLLC
Active
Parent organization
LAKE MICHIGAN EMERGENCY SPECIALISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE MICHIGAN EMERGENCY SPECIALISTS
Authorized official
MARC EMMETT WHITAKER MD (PRESIDENT)
(616) 881-2855
Entity
Organization
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-3916
Mailing address
800 E ELLIS RD # 571, NORTON SHORES, MI 49441-5622
(231) 728-4601
(231) 728-5777
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
07/07/2022
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