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Ottawa Shores Ent Associates Pc
Specialist in Grand Haven, Michigan
NPI 1861587834

Ottawa Shores Ent Associates Pc is a Specialist based in Grand Haven, MI. Ottawa Shores Ent Associates Pc practices in Grand Haven, MI. The NPI Number for Ottawa Shores Ent Associates Pc is 1861587834 and holds a License No. 4301063104 (Michigan).

The current practice location address for Ottawa Shores Ent Associates Pc is 1445 Sheldon Road, Grand Haven, MI and can be reached out via phone at 616-935-6966 and via fax at 616-935-6967.

Location: 1445 Sheldon Road, Grand Haven, MI, 49417-2480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861587834
Provider Name
Ottawa Shores Ent Associates Pc
Credential
Provider Entity Type
Organization
Address
1445 Sheldon Road, Grand Haven, MI, 49417-2480
Phone Number
616-935-6966
Fax Number
616-935-6967
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4422643 05 MI
institution
Provider Business Practice Location Address Details
Address
1445 Sheldon Road
City
Grand Haven
State
Michigan
Zip
49417-2480
Phone Number
616-935-6966
Fax Number
616-935-6967
person
Provider Business Mailing Address Details
Address
1445 Sheldon Road
City
Grand Haven
State
Michigan
Zip
49417-2480
Phone Number
616-935-6966
Fax Number
616-935-6967
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301063104 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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