NPI | 1720115173 |
---|---|
Doing Business As | SOUTH SHORE FAMILY PRACTICE PC |
Doing Business As | SOUTH SHORE FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | SPRING L MADOSH Doctor President 906-225-3988 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-02-27 |
Last Update Date | 2023-03-23 |