Great Lakes Gastroenterology Research

NPI #1639591019 in Mentor, Ohio

Provider Information

NPI Number
1639591019
Entity Type
Organization
Organization Name
Great Lakes Gastroenterology Research
Primary Specialty
Specialist - Research Study
Enumeration Date
Jan 20, 2014
Last Updated
Jan 20, 2014

Practice Location

Address
9485 MENTOR AVE
Address 2
SUITE 105
City
Mentor
State
Ohio
ZIP Code
44060-4597
Phone
(440) 205-1225

Authorized Official

Name
LEAH NOWAK
Title
ADMINISTRATIVE COORDINATOR
Phone
(440) 205-1225

Specialties & Taxonomy Codes

Specialty
Specialist - Research StudyResearch Study

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