Organization
WEST SHORE CARDIOLOGY, PLC
Active
Other names
West Shore Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA HOPMA (OFFICE MANAGER)
(231) 739-9427
Entity
Organization
Contact information
Practice address
1212 E SHERMAN BLVD, MUSKEGON, MI 49444-1879
(231) 739-9427
(231) 830-9729
Mailing address
1212 E SHERMAN BLVD, MUSKEGON, MI 49444-1879
(231) 739-9427
(231) 830-9729
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060F16016
BCBS - GROUP PROVIDER #
MI
01
—
060F160160
BCN - GROUP PROVIDER #
MI
Enumeration date
07/30/2006
Last updated
09/18/2007
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