Great Lakes Diagnostic Facility LLC

NPI #1609265941 in Caro, Michigan

Provider Information

NPI Number
1609265941
Entity Type
Organization
Organization Name
Great Lakes Diagnostic Facility LLC
Primary Specialty
Internal Medicine
Enumeration Date
Jan 9, 2015
Last Updated
Sep 10, 2015

Practice Location

Address
1525 W CARO RD
City
Caro
ZIP Code
48723-9686
Phone
(989) 672-2100

Authorized Official

Name
WAQAR MIAN
Title
OWNER
Phone
(989) 780-4415

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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