Great Lakes Geriatrics Plc | |
50505 Schoenherr Rd Suite 340 Shelby Township MI 48315-3140 | |
(586) 731-8400 | |
(586) 731-8406 |
Full Name | Great Lakes Geriatrics Plc |
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Speciality | Internal Medicine |
Location | 50505 Schoenherr Rd, Shelby Township, Michigan |
Authorized Official Name and Position | Seth Parker (PRESIDENT) |
Authorized Official Contact | 5867318400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Great Lakes Geriatrics Plc 50505 Schoenherr Rd Suite 340 Shelby Township MI 48315-3140 Ph: (586) 731-8400 | Great Lakes Geriatrics Plc 50505 Schoenherr Rd Suite 340 Shelby Township MI 48315-3140 Ph: (586) 731-8400 |
NPI Number | 1265797583 |
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Provider Enumeration Date | 07/12/2012 |
Last Update Date | 07/16/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265797583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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