Organization
SURGICAL SPECIALIST OF W MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J WOREL DO, FACOS (DOCTOR)
(800) 353-5420
Entity
Organization
Contact information
Practice address
6401 PRAIRIE ST, SUITE 1700, MUSKEGON, MI 49444-7840
(800) 353-5420
(866) 597-5366
Mailing address
6401 PRAIRIE ST, SUITE 1700, MUSKEGON, MI 49444-7840
(800) 353-5420
(866) 597-5366
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM4297
RR MEDICARE
MI
Enumeration date
07/07/2006
Last updated
02/13/2008
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