Organization
WEST SHORE OTOLARYNGOLOGY PC
Active
Organization
WEST SHORE OTOLARYNGOLOGY PC
Active
Other names
West Shore ENT & Allergy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW A BOWEN MD (VICE PRESIDENT)
(231) 739-9095
Entity
Organization
Contact information
Practice address
16760 LINCOLN ST, GRAND HAVEN, MI 49417
(616) 414-9062
(616) 414-9063
Mailing address
1450 FARR RD STE 5000, NORTON SHORES, MI 49444-7789
(231) 739-9095
(231) 722-5147
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Enumeration date
08/02/2018
Last updated
07/15/2021
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