Great Lakes Medical, P.c.

NPI #1295171650 in Ludington, Michigan

Provider Information

NPI Number
1295171650
Entity Type
Organization
Organization Name
Great Lakes Medical, P.c.
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
May 13, 2013
Last Updated
Jul 15, 2013

Practice Location

Address
5511 W US HIGHWAY 10
Address 2
SUITE A
ZIP Code
49431-2455
Phone
(231) 843-1553

Authorized Official

Name
DR. RICHARD WAYNE MACAULEY, MEDICAL DOCTOR
Title
OWNER
Phone
(517) 449-2452

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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