| NPI | 1548764426 |
|---|---|
| Doing Business As | WEST SHORE ENT & ALLERGY FARR RD |
| Entity Type | Organization |
| Authorized Contact | MATTHEW A BOWEN President 231-739-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2021-07-15 |