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Great Lakes Medical, P,c,
Rural Health Clinic/Center in Gladwin, Michigan
NPI 1750727129

Great Lakes Medical, P,c, is a Rural Health Clinic/Center based in Gladwin, MI and is specialized in Rural Health. Great Lakes Medical, P,c, practices in Gladwin, MI. The NPI Number for Great Lakes Medical, P,c, is 1750727129 and holds a License No. 04411G (Michigan).

The current practice location address for Great Lakes Medical, P,c, is 1277 E Cedar Ave, Gladwin, MI and can be reached out via phone at 989-426-1100.

Location: 1277 E Cedar Ave, Gladwin, MI, 48624-7004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750727129
Provider Name
Great Lakes Medical, P,c,
Credential
Provider Entity Type
Organization
Address
1277 E Cedar Ave, Gladwin, MI, 48624-7004
Phone Number
989-426-1100
Fax Number
Provider Enumeration Date
05/13/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04411G 01 MI STATE OF MICHIGAN ID
institution
Provider Business Practice Location Address Details
Address
1277 E Cedar Ave
City
Gladwin
State
Michigan
Zip
48624-7004
Phone Number
989-426-1100
Fax Number
person
Provider Business Mailing Address Details
Address
1277 E Cedar Ave
City
Gladwin
State
Michigan
Zip
48624-7004
Phone Number
989-426-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
04411G (Michigan)
Definition
Definition to come...
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