Great Lakes Locums LLC

NPI #1174058549 in Kenmore, New York

Provider Information

NPI Number: 1174058549
Entity Type: Organization
Organization Name: Great Lakes Locums LLC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 24, 2017
Last Updated: Apr 24, 2017

Practice Location

Address: 2950 ELMWOOD AVE
City: Kenmore
State: New York
ZIP Code: 14217-1304
Phone: (716) 447-6100

Authorized Official

Name: MIAN MAJEED, M.D.
Title: OWNER
Phone: (716) 863-2454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X
Internal Medicine	207R00000X	Primary

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