Great Lakes Urogynecology Plc
NPI #1144111840 in Brownstown Twp, Michigan
Provider Information
- NPI Number
- 1144111840
- Entity Type
- Organization
- Organization Name
- Great Lakes Urogynecology Plc
- Primary Specialty
- Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery
- Enumeration Date
- Jul 10, 2025
- Last Updated
- Aug 5, 2025
Practice Location
- Address
- 19249 ALLEN RD STE B
- City
- Brownstown Twp
- State
- Michigan
- ZIP Code
- 48183-1189
- Phone
- (248) 835-2797
Authorized Official
- Name
- DR. JACLYN TAYLOR BARATONO
- Title
- AUTHORIZED OFFICIAL
- Phone
- (734) 225-6859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery — Urogynecology and Reconstructive Pelvic Surgery |
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