# LAKESHORE MOBILE M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790982528
- **Authorized official:** DR. KEITH D MARCUS M.D. (PRESIDENT)
- **Authorized official phone:** (616) 283-7527

## Contact information

- **Practice address:** 8333 FELCH ST, ZEELAND, MI 49464-1698
- **Practice address phone:** (616) 772-4644
- **Mailing address:** PO BOX 217, SAUGATUCK, MI 49453-0217
- **Mailing address phone:** (616) 283-7527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301050045 | MI | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 08/22/2020