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Organization

SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC P L C

Active
Parent organization
SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC P L C
Organization subpart
Yes

Provider details

NPI number
Legal business name
SHORELINE ORTHOPAEDIC & SPORTS MEDICINE CLINIC P L C
Authorized official
TRICIA SCHILDHOUSE MBA (CEO)
(616) 396-5855
Entity
Organization

Contact information

Practice address
3509 KELLY ST, HUDSONVILLE, MI 49426-1407
(616) 396-5855
(877) 592-0688
Mailing address
370 N 120TH AVE, HOLLAND, MI 49424-2120
(616) 396-5855
(877) 592-0688

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
02/10/2023
Last updated
03/03/2026
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