Great Lakes Spine and Medical Pllc

NPI #1750080545 in Holt, Michigan

Provider Information

NPI Number
1750080545
Entity Type
Organization
Organization Name
Great Lakes Spine and Medical Pllc
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 1, 2023
Last Updated
Mar 1, 2023

Practice Location

Address
4573 WILLOUGHBY RD STE B
City
Holt
ZIP Code
48842-2188
Phone
(517) 699-2646

Authorized Official

Name
JEFFREY A KELLY, DC
Title
OWNER
Phone
(989) 792-6702

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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