Organization
HPCN
Active
Other names
Lakeshore Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN B JOHNSON C.M.P.E. (OPERATIONS MANAGER)
(231) 728-5910
Entity
Organization
Contact information
Practice address
905 E COLBY ST, WHITEHALL, MI 49461-1262
(231) 728-5910
(231) 728-5918
Mailing address
905 E COLBY ST, WHITEHALL, MI 49461-1262
(231) 728-5910
(231) 728-5918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
02/06/2008
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