Great Lakes Medical PC
NPI #1942548946 in Mount Pleasant, Michigan
Provider Information
- NPI Number
- 1942548946
- Entity Type
- Organization
- Organization Name
- Great Lakes Medical PC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jan 25, 2013
- Last Updated
- Dec 27, 2013
Practice Location
- Address
- 1111 S MISSION ST
- City
- Mount Pleasant
- State
- Michigan
- ZIP Code
- 48858-3944
- Phone
- (989) 773-9700
Authorized Official
- Name
- DR. RICHARD WAYNE MACAULEY, MEDICAL DOCTOR
- Title
- OWNER
- Phone
- (517) 449-2452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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