Organization
LAKESHORE MOBILE M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH D MARCUS M.D. (PRESIDENT)
(616) 283-7527
Entity
Organization
Contact information
Practice address
8333 FELCH ST, ZEELAND, MI 49464-1698
(616) 772-4644
Mailing address
PO BOX 217, SAUGATUCK, MI 49453-0217
(616) 283-7527
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301050045
MI
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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