OrganizationActive
Shoreline Ent PLC
NPI 1144354820 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Muskegon, MI
Provider details
- NPI number
- 1144354820
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nichole Goodchild, Administrator(231) 777-2625
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
268 Seminole Rd
Muskegon, MI 49444-3733
Phone: (231) 777-2625
Fax: (231) 773-8560
Approximate (ZIP-level) locationGet directions
Mailing address
268 Seminole Rd
Muskegon, MI 49444-3733
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2021-07-15
- Certified
- 2021-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.