Great Lakes Net
NPI #1184304537 in Coopersville, Michigan
Provider Information
- NPI Number
- 1184304537
- Entity Type
- Organization
- Organization Name
- Great Lakes Net
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jul 20, 2023
- Last Updated
- Jul 20, 2023
Practice Location
- Address
- 25 68TH AVE N STE E
- City
- Coopersville
- State
- Michigan
- ZIP Code
- 49404-9223
- Phone
- (616) 406-5310
Authorized Official
- Name
- MR. RYAN D CUSHMAN
- Title
- MANAGER
- Phone
- (616) 406-5310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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