Organization
SHORELINE ENT PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE GOODCHILD (ADMINISTRATOR)
(231) 777-2625
Entity
Organization
Contact information
Practice address
268 SEMINOLE RD, MUSKEGON, MI 49444-3733
(231) 777-2625
(231) 773-8560
Mailing address
268 SEMINOLE RD, MUSKEGON, MI 49444-3733
(231) 777-2625
(231) 773-8560
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
07/15/2021
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