Organization
HPCN
Active
Other names
Lakeshore Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN B JOHNSON C.M.P.E. (PRACTICE EXECUTIVE)
(231) 728-5910
Entity
Organization
Contact information
Practice address
218 N MICHIGAN AVE, SHELBY, MI 49455-1028
(231) 861-2187
(231) 894-6248
Mailing address
218 N MICHIGAN AVE, SHELBY, MI 49455-1028
(231) 861-2187
(231) 894-6248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MI
Other
Enumeration date
12/19/2006
Last updated
02/06/2008
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