Organization
SHORELINE FOOT & ANKLE ASSOCIATES P.C.
Active
Organization
SHORELINE FOOT & ANKLE ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER DEYOUNG D.P.M. (OWNER)
(231) 733-1111
Entity
Organization
Contact information
Practice address
561 SEMINOLE RD, NORTON SHORES, MI 49444-3719
(231) 733-1111
(231) 733-1144
Mailing address
561 SEMINOLE RD, MUSKEGON, MI 49444-3719
(231) 733-1111
(231) 733-1144
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2759945
—
MI
05
—
3524970
—
MI
05
—
4337945
—
MI
Enumeration date
02/13/2007
Last updated
01/24/2022
Update your record
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