WEST SHORE WOMENS PRACTICE PC NPI 1275718900

NPI Information

  • NPI: 1275718900
  • Provider Name: WEST SHORE WOMENS PRACTICE PC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 1293 E PARKDALE AVE
    SUITE 1200A
    MANISTEE, MI
    ZIP 49660
  • Phone: (231) 398-0222

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NPI Details

WEST SHORE WOMENS PRACTICE PC is an obstetrics gynecology in Manistee, MI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WEST SHORE WOMENS PRACTICE PC NPI is 1275718900. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1293 E PARKDALE AVE
SUITE 1200A
MANISTEE, MI
ZIP 49660-904
Phone: (231) 398-0222
Fax: (231) 398-0225

The provider's authorized official is Marian R Fuller .
The authorized official title is Ceo and has the following contact phone number (231) 398-0222.

The enumeration date for this NPI number is 12/31/2007 and was last updated on 9/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology4301079496MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MF079496OTHERMICHIGANSTATE LICENSE NUMBER
21605115302OTHERMICHIGANBCBS PIN
31605115302OTHERMICHIGANBLUE CARE NETWORK PIN
4I58910MEDICARE UPINMICHIGAN
50P53040MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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