| NPI | 1790841658 |
|---|---|
| Other Name | SHORELINE OPHTHALMOLOGY GRAND HAVEN |
| Entity Type | Organization |
| Authorized Contact | JOSEPH GIRA Owner 231-739-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-05-09 |