Great Lakes Pediatric Associates

NPI #1023342474 in Lansing, Michigan

Provider Information

NPI Number: 1023342474
Entity Type: Organization
Organization Name: Great Lakes Pediatric Associates
Primary Specialty: Pediatrics
Enumeration Date: Oct 1, 2009
Last Updated: Oct 1, 2009

Practice Location

Address: 3400 PINETREE RD
Address 2: STE 102
City: Lansing
State: Michigan
ZIP Code: 48911-4286
Phone: (517) 887-3000

Authorized Official

Name: MS. BETH ILEEN CHARLES
Title: PRACTICE MANAGER
Phone: (517) 887-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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