Organization · Type 2 NPI

Shoreline Orthopaedic & Sports Medicine Clinic,plc

Orthopaedic Surgery Physician · Holland, MI

NPI number 1275579765 Active

Practice location

370 120th Ave
Holland, MI 49424-2196

Fax (616) 396-5720

Mailing address

370 N 120th Ave
Holland, MI 49424-2120

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XNone listed
Orthopaedic Hand Surgery Physician 207XS0106XNone listed
Non-Pharmacy Dispensing Site 332900000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1275579765

Shoreline Orthopaedic & Sports Medicine Clinic,plc's National Provider Identifier is 1275579765, issued on Jun 21, 2006. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Holland, MI. The record was last updated on Mar 3, 2026.