institution
Great Lakes Surgical Assistants, Pllc
Surgical Physician Assistant in Troy, Michigan
NPI 1558653303

Great Lakes Surgical Assistants, Pllc is a Surgical Physician Assistant based in Chesterfield, MI and is specialized in Surgical. Great Lakes Surgical Assistants, Pllc practices in Troy, MI. The NPI Number for Great Lakes Surgical Assistants, Pllc is 1558653303 and holds a License No. D5298K (Michigan).

The current practice location address for Great Lakes Surgical Assistants, Pllc is 4550 Investment Dr Ste 100, Troy, MI and can be reached out via phone at 248-265-4600. You can also correspond with Great Lakes Surgical Assistants, Pllc through the mailing address at 47120 LAND ST, CHESTERFIELD, MI - 48047-5142 (mailing address contact number: 586-246-5125).

Location: 4550 Investment Dr Ste 100, Troy, MI, 48047-5142
institution
Provider Profile Details
NPI Number
1558653303
Provider Name
Great Lakes Surgical Assistants, Pllc
Credential
Provider Entity Type
Organization
Address
4550 Investment Dr Ste 100, Troy, MI, 48047-5142
Phone Number
248-265-4600
Fax Number
Provider Enumeration Date
05/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0N33470042 01 MI MEDICARE ID-TYPE UNSPECIFIED
institution
Provider Business Practice Location Address Details
Address
4550 Investment Dr Ste 100
City
State
Zip
48098-6334
Phone Number
248-265-4600
Fax Number
person
Provider Business Mailing Address Details
Address
4550 Investment Dr Ste 100
City
State
Zip
48098-6334
Phone Number
248-265-4600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
D5298K (Michigan)
Definition
Definition to come...
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