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Great Lakes Neurosurgical Associates, Pc
Durable Medical Equipment & Medical Supplies in Grand Rapids, Michigan
NPI 1306366810

Great Lakes Neurosurgical Associates, Pc is a Durable Medical Equipment & Medical Supplies based in Grand Rapids, MI. Great Lakes Neurosurgical Associates, Pc practices in Grand Rapids, MI. The NPI Number for Great Lakes Neurosurgical Associates, Pc is 1306366810 and holds a License No. (Michigan).

The current practice location address for Great Lakes Neurosurgical Associates, Pc is 414 Plymouth Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-454-3465 and via fax at 616-454-9004.

Location: 414 Plymouth Ave Ne, Grand Rapids, MI, 49505-6038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306366810
Provider Name
Great Lakes Neurosurgical Associates, Pc
Credential
Provider Entity Type
Organization
Address
414 Plymouth Ave Ne, Grand Rapids, MI, 49505-6038
Phone Number
616-454-3465
Fax Number
616-454-9004
Provider Enumeration Date
06/26/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0D11057 01 MI BLUE CROSS AND BLUE SHIELD OF MICHIGAN
1366590929 05 MI
institution
Provider Business Practice Location Address Details
Address
414 Plymouth Ave Ne
City
Grand Rapids
State
Michigan
Zip
49505-6038
Phone Number
616-454-3465
Fax Number
616-454-9004
person
Provider Business Mailing Address Details
Address
414 Plymouth Ave Ne
City
Grand Rapids
State
Michigan
Zip
49505-6038
Phone Number
616-454-3465
Fax Number
616-454-9004
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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