Organization
WEST SHORE OTOLARYNGOLOGY PC
Active
Parent organization
WEST SHORE OTOLARYNGOLOGY PC
Other names
West Shore ENT & Allergy Grand Haven
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST SHORE OTOLARYNGOLOGY PC
Authorized official
ARTHUR JAMES POTTER JR. MD (VICE PRESIDENT)
(231) 739-9095
Entity
Organization
Contact information
Practice address
16760 LINCOLN ST, GRAND HAVEN, MI 49417
(616) 935-3300
Mailing address
1450 FARR RD STE 5000, NORTON SHORES, MI 49444-7789
(231) 739-9095
(231) 722-5147
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
07/02/2018
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