Great Lakes Practitioners LLC

NPI #1689166860 in Parma, Ohio

Provider Information

NPI Number
1689166860
Entity Type
Organization
Organization Name
Great Lakes Practitioners LLC
Primary Specialty
Internal Medicine - Geriatric Medicine
Enumeration Date
Jun 4, 2018
Last Updated
Mar 13, 2019

Practice Location

Address
6681 RIDGE RD STE 300
City
Parma
State
Ohio
ZIP Code
44129-5705
Phone
(440) 842-8675

Authorized Official

Name
KOUROSH SAGHAFI, DO
Title
PRESIDENT
Phone
(440) 842-8675

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Geriatric MedicineGeriatric Medicine

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