Organization · Type 2 NPI

Great Lakes Gynecology & Aesthetics Inc, PC

Gynecology Physician · Escanaba, MI

NPI number 1366589996 Active

Practice location

126 S 25th St, Suite B
Escanaba, MI 49829-1364

Call (906) 233-9500 Map

Fax (906) 233-9925

Mailing address

126 South 25th Street, Suite B
Escanaba, MI 49829

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400X207VG0400X (MI)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

4 other providers at this address

About NPI 1366589996

Great Lakes Gynecology & Aesthetics Inc, PC's National Provider Identifier is 1366589996, issued on Jan 31, 2007. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Escanaba, MI. The record was last updated on Sep 28, 2009.