| Great Lakes Provider Network, Llc | |
|
33900 Harper Ave Ste A101, Clinton Township, MI 48035-4258 | |
| (586) 359-2649 | |
| (844) 522-5038 |
| Full Name | Great Lakes Provider Network, Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 33900 Harper Ave Ste A101, Clinton Township, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649710823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Provider Network, Llc 33900 Harper Ave Ste A101, Clinton Township, MI 48035-4258 Ph: (586) 359-2649 | Great Lakes Provider Network, Llc 33900 Harper Ave Ste A101, Clinton Township, MI 48035-4258 Ph: (586) 359-2649 |
Mrs. Elise Patricia Krzesimowski, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 36539 Harper Ave, Clinton Township, MI 48035 Phone: 586-900-8225 Fax: 920-356-6419 | |
Charlie Dean Mcnabb, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 40680 Garfield Rd Ste 1b, Clinton Township, MI 48038 Phone: 586-333-5405 | |
Hear Now Audiology & Tinnitus Center Audiologist Medicare: Medicare Enrolled Practice Location: 40680 Garfield Rd Ste 1b, Clinton Township, MI 48038 Phone: 586-333-5405 Fax: 586-421-4316 |