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Great Lakes Home Doctors Pc
General Practice Physician in Walled Lake, Michigan
NPI 1679705354

Great Lakes Home Doctors Pc is a General Practice Physician based in Walled Lake, MI. Great Lakes Home Doctors Pc practices in Walled Lake, MI. The NPI Number for Great Lakes Home Doctors Pc is 1679705354 and holds a License No. (Michigan).

The current practice location address for Great Lakes Home Doctors Pc is 1160 Villa Ct N, Walled Lake, MI and can be reached out via phone at 313-978-2343.

Location: 1160 Villa Ct N, Walled Lake, MI, 48390-3376
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679705354
Provider Name
Great Lakes Home Doctors Pc
Credential
Provider Entity Type
Organization
Address
1160 Villa Ct N, Walled Lake, MI, 48390-3376
Phone Number
313-978-2343
Fax Number
Provider Enumeration Date
08/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1160 Villa Ct N
City
Walled Lake
State
Michigan
Zip
48390-3376
Phone Number
313-978-2343
Fax Number
person
Provider Business Mailing Address Details
Address
1160 Villa Ct N
City
Walled Lake
State
Michigan
Zip
48390-3376
Phone Number
313-978-2343
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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