| Great Lakes Regenerative Medicine, Pllc | |
|
2251 N Squirrel Rd Ste 206 Auburn Hills MI 48326-4602 | |
| (248) 829-0385 | |
| Not Available |
| Full Name | Great Lakes Regenerative Medicine, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 2251 N Squirrel Rd Ste 206, Auburn Hills, Michigan |
| Authorized Official Name and Position | Robert J Basak (CLINIC DIRECTOR) |
| Authorized Official Contact | 2488290385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Regenerative Medicine, Pllc 148 Golf Crest Dr Acworth GA 30101-5968 Ph: (248) 829-0239 | Great Lakes Regenerative Medicine, Pllc 2251 N Squirrel Rd Ste 206 Auburn Hills MI 48326-4602 Ph: (248) 829-0385 |
| NPI Number | 1033758305 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033758305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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