Great Lakes Dme, LLC

NPI #1295086437 in Canton, Ohio

Provider Information

NPI Number
1295086437
Entity Type
Organization
Organization Name
Great Lakes Dme, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 27, 2012
Last Updated
Oct 6, 2012

Practice Location

Address
4960 HIGBEE AVE NW
Address 2
SUITE 101
City
Canton
State
Ohio
ZIP Code
44718-2598
Phone
(330) 493-0201

Authorized Official

Name
ERIC GINANNI
Title
PRESIDENT
Phone
(330) 493-0201

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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