Great Lakes Neurology, Pc | |
932 Spring St Ste 102 Petoskey MI 49770-2286 | |
(231) 487-3970 | |
Not Available |
Full Name | Great Lakes Neurology, Pc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 932 Spring St Ste 102, Petoskey, Michigan |
Authorized Official Name and Position | Steven Huder (PRESIDENT) |
Authorized Official Contact | 2314873970 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Great Lakes Neurology, Pc 932 Spring St Ste 102 Petoskey MI 49770-2855 Ph: () - | Great Lakes Neurology, Pc 932 Spring St Ste 102 Petoskey MI 49770-2286 Ph: (231) 487-3970 |
NPI Number | 1811071798 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 02/21/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811071798 | NPI | - | NPPES |
3514160 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | SH067274 (Michigan) | Primary |
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