| Great Lakes Medical Practice | |
|
8273 S Saginaw St Ste B Grand Blanc MI 48439-2465 | |
| (810) 653-0899 | |
| (810) 771-7472 |
| Full Name | Great Lakes Medical Practice |
|---|---|
| Speciality | Internal Medicine |
| Location | 8273 S Saginaw St Ste B, Grand Blanc, Michigan |
| Authorized Official Name and Position | Salwa Sirelkhatim Mohamedahmed (OWNER) |
| Authorized Official Contact | 8106530899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Medical Practice 8273 S Saginaw St Ste B Grand Blanc MI 48439-2465 Ph: (810) 653-0899 | Great Lakes Medical Practice 8273 S Saginaw St Ste B Grand Blanc MI 48439-2465 Ph: (810) 653-0899 |
| NPI Number | 1184409955 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 09/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184409955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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