Great Lakes Podiatry Pllc

NPI #1043728553 in Escanaba, Michigan

Provider Information

NPI Number
1043728553
Entity Type
Organization
Organization Name
Great Lakes Podiatry Pllc
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 18, 2018
Last Updated
Jan 18, 2018

Practice Location

Address
126 S 25TH ST STE A
ZIP Code
49829-1364
Phone
(906) 786-2385

Authorized Official

Name
DENNIS W LEVEILLE, DPM
Title
OWNER/PODIATRIST
Phone
(906) 786-2385

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier
Durable Medical Equipment & Medical Supplies

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