Organization · Type 2 NPI

Great Lakes Medical PC

Rural Health Clinic/Center · Gladwin, MI

NPI number 1679845671 Active

Practice location

1277 E Cedar Avenue, Suite A
Gladwin, MI 48624-7004

Call (989) 426-1100 Map

Fax (989) 426-1400

Mailing address

1277 E Cedar Ave, Suite A
Gladwin, MI 48624-7004

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X4301042308 (MI)
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

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About NPI 1679845671

Great Lakes Medical PC's National Provider Identifier is 1679845671, issued on Feb 7, 2012. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Gladwin, MI. The record was last updated on Aug 27, 2012.