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Great Lakes Medical Clinic, Pllc
Primary Care Clinic/Center in Benton Harbor, Michigan
NPI 1669614152

Great Lakes Medical Clinic, Pllc is a Primary Care Clinic/Center based in Benton Harbor, MI and is specialized in Primary Care. Great Lakes Medical Clinic, Pllc practices in Benton Harbor, MI. The NPI Number for Great Lakes Medical Clinic, Pllc is 1669614152 and holds a License No. 5601002947 (Michigan).

The current practice location address for Great Lakes Medical Clinic, Pllc is 1850 Pipestone Rd, Benton Harbor, MI and can be reached out via phone at 269-925-8386 and via fax at 269-925-4085.

Location: 1850 Pipestone Rd, Benton Harbor, MI, 49022-2304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669614152
Provider Name
Great Lakes Medical Clinic, Pllc
Credential
Provider Entity Type
Organization
Address
1850 Pipestone Rd, Benton Harbor, MI, 49022-2304
Phone Number
269-925-8386
Fax Number
269-925-4085
Provider Enumeration Date
03/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1850 Pipestone Rd
City
Benton Harbor
State
Michigan
Zip
49022-2304
Phone Number
269-925-8386
Fax Number
269-925-4085
person
Provider Business Mailing Address Details
Address
1850 Pipestone Rd
City
Benton Harbor
State
Michigan
Zip
49022-2304
Phone Number
269-925-8386
Fax Number
269-925-4085
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
5601002947 (Michigan)
Definition
Definition to come...
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