Organization
WEST MICHIGAN OPHTHALMOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A GORAN MD (OWNER)
(231) 737-9378
Entity
Organization
Contact information
Practice address
1150 E SHERMAN BLVD, SUITE 1500, MUSKEGON, MI 49444-1871
(231) 737-9378
(231) 737-1023
Mailing address
1150 E SHERMAN BLVD, SUITE 1500, MUSKEGON, MI 49444-1871
(231) 737-9378
(231) 737-1023
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301079878
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104960267
—
MI
01
—
1806111162
BCBSM PIN
MI
Enumeration date
10/27/2006
Last updated
05/21/2008
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