| Great Lakes Surgical Specialists | |
|
104 E 2nd St Erie PA 16507-1532 | |
| (814) 877-4577 | |
| (814) 455-3001 |
| Full Name | Great Lakes Surgical Specialists |
|---|---|
| Speciality | Family Medicine |
| Location | 104 E 2nd St, Erie, Pennsylvania |
| Authorized Official Name and Position | David Gibbons (PRESIDENT) |
| Authorized Official Contact | 8148777591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Surgical Specialists 104 E 2nd St Erie PA 16507-1532 Ph: (814) 877-4577 | Great Lakes Surgical Specialists 104 E 2nd St Erie PA 16507-1532 Ph: (814) 877-4577 |
| NPI Number | 1346407087 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 09/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346407087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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