Organization
MUSKEGON SURGICAL ASSOCIATES
Active
Parent organization
MUSKEGON SURGICAL ASSOCIATES, PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUSKEGON SURGICAL ASSOCIATES, PLC
Authorized official
JENNIFER L POPPEMA CPC (BILLING SUPERVISOR)
(231) 739-1916
Entity
Organization
Contact information
Practice address
1675 PATRIOT DR, MUSKEGON, MI 49444-7807
(231) 739-1933
Mailing address
DEPT 2033, PO BOX 30516, LANSING, MI 48909-8016
(231) 830-3982
(231) 830-3998
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
02/06/2024
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