Organization
MUSKEGON GENERAL SURGERY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC A KIVISTO DO (PRESIDENT)
(231) 737-8446
Entity
Organization
Contact information
Practice address
1325 E SHERMAN BLVD, MUSKEGON, MI 49444-1813
(231) 737-8446
(231) 737-0510
Mailing address
1325 E SHERMAN BLVD, MUSKEGON, MI 49444-1813
(231) 737-8446
(231) 737-0510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101011210
MI
Other
Enumeration date
03/03/2009
Last updated
03/23/2009
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