Hpcn
Obstetrics & Gynecology, Obstetrics in Muskegon, MI. Organization (NPI-2).
NPI number1902810740
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1902810740
- Entity type
- Organization (NPI-2)
- Legal business name
- Hpcn
- Organization subpart
- No
- Enumeration date
- Jul 28, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0000X | Obstetrics & Gynecology, Obstetrics | – | – | Yes |
Other names
- Hackley Lakes Obgyn (Doing Business As)
Practice location
6401 Prairie St2100
Muskegon, MI 49444-7840
Phone 231-727-7939 · Fax 231-727-7935
Mailing address
6401 Prairie St2100
Muskegon, MI 49444-7840
Phone 231-727-7939 · Fax 231-727-7935
Authorized official
R Michael Beahan
Mgr
2317281676
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