Great Lakes Podiatry Pllc

NPI #1225079932 in Escanaba, Michigan

Provider Information

NPI Number: 1225079932
Entity Type: Organization
Organization Name: Great Lakes Podiatry Pllc
Primary Specialty: Podiatrist
Enumeration Date: Jun 10, 2006
Last Updated: Dec 11, 2008

Practice Location

Address: 126 S 25TH ST
Address 2: SUITE A
City: Escanaba
State: Michigan
ZIP Code: 49829-1364
Phone: (906) 786-2385

Authorized Official

Name: MARY PAT LEVEILLE
Title: PRACTICE MANAGER
Phone: (906) 786-5106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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