# LAKE MICHIGAN OBSERVATION SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKE MICHIGAN EMERGENCY SPECIALISTS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518626043
- **Legal business name:** LAKE MICHIGAN EMERGENCY SPECIALISTS
- **Authorized official:** MARC EMMETT WHITAKER MD (PRESIDENT)
- **Authorized official phone:** (616) 881-2855

## Contact information

- **Practice address:** 1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
- **Practice address phone:** (231) 672-3916
- **Mailing address:** 800 E ELLIS RD \# 571, NORTON SHORES, MI 49441-5622
- **Mailing address phone:** (231) 728-4601
- **Mailing address fax:** (231) 728-5777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2021
- **Last updated:** 07/07/2022