Great Lakes Medical Group PC
NPI #1053787853 in Eastpointe, Michigan
Provider Information
- NPI Number
- 1053787853
- Entity Type
- Organization
- Organization Name
- Great Lakes Medical Group PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 15, 2015
- Last Updated
- Aug 15, 2015
Practice Location
- Address
- 19070 E 10 MILE RD
- City
- Eastpointe
- State
- Michigan
- ZIP Code
- 48021-1449
- Phone
- (313) 418-9952
Authorized Official
- Name
- MOHAMAD RAHBAR, M.D.
- Title
- PRESIDENT
- Phone
- (313) 418-9952
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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