Great Lakes Home Doctors PC

NPI #1679705354 in Walled Lake, Michigan

Provider Information

NPI Number: 1679705354
Entity Type: Organization
Organization Name: Great Lakes Home Doctors PC
Primary Specialty: General Practice
Enumeration Date: Aug 14, 2009
Last Updated: Apr 15, 2011

Practice Location

Address: 1160 VILLA CT N
City: Walled Lake
State: Michigan
ZIP Code: 48390-3376
Phone: (313) 978-2343

Authorized Official

Name: DR. AUNDREY LUTSKOVSKY, D.O.
Title: OWNER
Phone: (313) 978-2343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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