Lake Shore Pulmonology, PLC
Lake Shore Pulmonology, PLC provides Critical Care Medicine (Internal Medicine) Physician services in Spring Lake, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
17357 Van Wagoner Rd Ste 2Spring Lake, MI 49456-9702 Not confirmed with CMS for 16 years — call before visiting
Phone: (616) 847-1009
Fax: (616) 847-1607
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pulmonary Disease Physician (primary) | Taxonomy 207RP1001X · Licence 4301407127 (MI) |
|---|---|
| Critical Care Medicine (Internal Medicine) Physician | Taxonomy 207RC0200X · Licence 4301407127 (MI) |
| Sleep Medicine (Internal Medicine) Physician | Taxonomy 207RS0012X · Licence 4301407127 (MI) |
Record details
| NPI number | 1245283696 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Ivey — Owner/Physician · (616) 847-1009 |
| NPI enumerated | May 18, 2006 |
| Last updated in NPPES | April 8, 2010 |
| Mailing address | 17357 Van Wagoner Rd, Suite 2, Spring Lake, MI 49456-9702 |
Other providers in Spring Lake
-
Dr. Mark James Ivey, MD
17357 Van Wagoner Rd Ste 2, Spring Lake, MI 49456-9702 · (616) 847-1009