| West Michigan Gastroenterology Plc | |
|
1675 Leahy Suite 324b Muskegon MI 49442-5500 | |
| (231) 726-5075 | |
| (231) 722-1827 |
| Full Name | West Michigan Gastroenterology Plc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1675 Leahy, Muskegon, Michigan |
| Authorized Official Name and Position | John P Egan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2317265075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Michigan Gastroenterology Plc 1675 Leahy Suite 324b Muskegon MI 49442-5500 Ph: (231) 726-5075 | West Michigan Gastroenterology Plc 1675 Leahy Suite 324b Muskegon MI 49442-5500 Ph: (231) 726-5075 |
| NPI Number | 1679633929 |
|---|---|
| Provider Enumeration Date | 12/09/2006 |
| Last Update Date | 12/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679633929 | NPI | - | NPPES |
| CM6445 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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