| Lakeshore Spine And Pain Pc | |
|
5511 W Us Highway 10 Suite B Ludington MI 49431-2455 | |
| (231) 843-1553 | |
| Not Available |
| Full Name | Lakeshore Spine And Pain Pc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 5511 W Us Highway 10, Ludington, Michigan |
| Authorized Official Name and Position | Raj Makwana (ADMINISTRATOR) |
| Authorized Official Contact | 2318431553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Spine And Pain Pc 5511 W Us Highway 10 Suite B Ludington MI 49431-2455 Ph: () - | Lakeshore Spine And Pain Pc 5511 W Us Highway 10 Suite B Ludington MI 49431-2455 Ph: (231) 843-1553 |
| NPI Number | 1699043299 |
|---|---|
| Provider Enumeration Date | 12/09/2011 |
| Last Update Date | 12/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699043299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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