Organization
SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC,PLC
Active
Organization
SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC,PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRICIA SCHILDHOUSE (PRACTICE MANAGER)
(616) 396-5855
Entity
Organization
Contact information
Practice address
370 120TH AVE, HOLLAND, MI 49424-2196
(616) 396-5855
(616) 396-5720
Mailing address
370 N 120TH AVE, HOLLAND, MI 49424-2120
(616) 396-5855
(616) 396-5720
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
MI
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/21/2006
Last updated
03/03/2026
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