Organization
WEST SHORE UROLOGY, P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISTEEN K BENCH (OFFICE ADMINISTRATOR)
(231) 739-9492
Entity
Organization
Contact information
Practice address
1301 MERCY DR, MUSKEGON, MI 49444-1837
(231) 739-9492
Mailing address
230 W OAK ST, SUITE 107, FREMONT, MI 49412-1575
(231) 739-9492
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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