Organization
ECS LAKESHORE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN THROOP MD (PRESIDENT)
(616) 988-8220
Entity
Organization
Contact information
Practice address
1465 E PARKDALE AVE, MANISTEE, MI 49660-9709
(231) 398-1000
Mailing address
PO BOX 30516, DEPT. 4111, LANSING, MI 48909-8016
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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