WEST SHORE WOMENS PRACTICE PC
Medical Practice at Parkdale Ave, Stronach, MI

License number
Michigan 4301079496
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: DR. MARIAN R FULLER M.D.
Title: CEO
Phone: (231) 398-0222
Address
Address
1293 E Parkdale Ave SUITE 1200A, Stronach, MI 49660
National Provider ID: 1275718900
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WEST SHORE WOMENS PRACTICE, PC

Stronach, MI

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Nov 27, 2007
Addresses:
1293 E Parkdale Ave, Manistee, MI 49660 (Physical)
Michigan (Mailing)
State ID:
01206V
Business type:
Domestic Professional Service Corporation
Expiration:
11-18-2010
Medical Assistants:
Marian R. Fuller (Chief Executive Officer, Medical Doctor),Dursa Marshal (Manager),Catherine Markham (Licensed Practical Nurse),...
Agent:
Marian Fuller

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