WEST SHORE WOMENS PRACTICE PC
NPI 1275718900
Obstetrics & Gynecology in Manistee, MI

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since December 31, 2007

1293 E PARKDALE AVE, SUITE 1200A, MANISTEE, MI 49660(231) 398-0222(231) 398-0225 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About West Shore Womens Practice Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST SHORE WOMENS PRACTICE PC (NPI 1275718900) is a healthcare organization registered as an obstetrics & gynecology in Manistee, Michigan and active in the NPI registry since December 2007. The organization lists Marian R Fuller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275718900

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameWEST SHORE WOMENS PRACTICE PC

Location Address1293 E PARKDALE AVE, SUITE 1200AManistee, MI 49660-8904

Mailing Address1293 E Parkdale Ave, Suite 1200aManistee, MI 49660-8904 · (231) 398-0222 · Fax (231) 398-0225

Phone(231) 398-0222

Fax(231) 398-0225

Organization SubpartNo

Authorized OfficialMarian R FullerCeo · (231) 398-0222

Enumeration DateDecember 31, 2007

Last NPPES UpdateSeptember 11, 2008

✔ NPI 1275718900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · 4301079496

Definition

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.

1293 E PARKDALE AVE, Manistee, MI 49660

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Other Identifiers 5

OtherMF079496MI · State License Number

Other1605115302MI · Bcbs Pin

Other1605115302MI · Blue Care Network Pin

Medicare UPINI58910MI

Medicare PIN0P53040MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP