Great Lakes Ambulatory Surgery Center

NPI #1023498219 in Mentor, Ohio

Provider Information

NPI Number
1023498219
Entity Type
Organization
Organization Name
Great Lakes Ambulatory Surgery Center
Subpart
Yes (part of a larger organization)
Parent Organization
GREAT LAKES PAIN MANAGEMENT
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jun 3, 2015
Last Updated
Jan 13, 2026

Practice Location

Address
9002 MENTOR AVE STE B
City
Mentor
State
Ohio
ZIP Code
44060-6302
Phone
(440) 283-0244

Authorized Official

Name
DR. EMAD AZMY MIKHAIL, M.D.
Title
OWNER
Phone
(440) 306-2358

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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