Lakeshore Urology PLC
Lakeshore Urology PLC is an Urology Physician in Grand Haven, Michigan. Licensed in Michigan. Registered with an NPI since 2013.
- Licensed in
- MI
- In the registry since
- 2013
Practice location Address checks out
1445 Sheldon Rd Ste 102Grand Haven, MI 49417-2480
Phone: (616) 604-8363
Fax: (616) 604-8364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 4301048869 (MI) |
|---|
Record details
| NPI number | 1275872509 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Caleb Fleming — Medical Director · (616) 604-8363 |
| NPI enumerated | February 6, 2013 |
| Last updated in NPPES | February 15, 2013 |
| Mailing address | 1445 Sheldon Rd, Suite 102, Grand Haven, MI 49417-2480 |