| Great Lakes Family Medicine | |
|
3530 Peach St Erie PA 16508-2768 | |
| (814) 864-6039 | |
| (814) 864-6760 |
| Full Name | Great Lakes Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3530 Peach St, Erie, Pennsylvania |
| Authorized Official Name and Position | Patricia Ballman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8144525296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Family Medicine 3530 Peach St Suite Ll1 Erie PA 16508-2768 Ph: (814) 860-5036 | Great Lakes Family Medicine 3530 Peach St Erie PA 16508-2768 Ph: (814) 864-6039 |
| NPI Number | 1932294022 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 11/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932294022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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