Great Lakes Gastroenterology Consultants, LLC

NPI #1821155177 in Oregon, Ohio

Provider Information

NPI Number
1821155177
Entity Type
Organization
Organization Name
Great Lakes Gastroenterology Consultants, LLC
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Jan 3, 2007
Last Updated
May 9, 2008

Practice Location

Address
2702 NAVARRE AVE
Address 2
SUITE 106
City
Oregon
State
Ohio
ZIP Code
43616-3223
Phone
(419) 696-5555

Authorized Official

Name
SUDHAKAR N. PANGULUR, M.D.
Title
PRESIDENT
Phone
(419) 696-5555

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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