Great Lakes Brain and Spine Institute PC

NPI #1952512766 in Jackson, Michigan

Provider Information

NPI Number: 1952512766
Entity Type: Organization
Organization Name: Great Lakes Brain and Spine Institute PC
Primary Specialty: Specialist
Enumeration Date: May 24, 2007
Last Updated: Aug 13, 2007

Practice Location

Address: 900 E MICHIGAN AVE
Address 2: SUITE 109
City: Jackson
State: Michigan
ZIP Code: 49201-2457
Phone: (517) 782-0500

Authorized Official

Name: DR. HARISH RAWAL, MD
Title: PRESIDENT
Phone: (517) 782-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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