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Organization
GREAT LAKES MEDICAL SERVICES LLC
Active
Organization
GREAT LAKES MEDICAL SERVICES LLC
Active
Other names
Great Lakes Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE PRUETER (PRESIDENT)
(419) 872-5343
Entity
Organization
Contact information
Practice address
25660 DIXIE HWY, PERRYSBURG, OH 43551-2167
(419) 872-5343
(419) 872-2465
Mailing address
25660 DIXIE HWY, PERRYSBURG, OH 43551-2167
(419) 872-5343
(419) 872-2465
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
1515723
OH
Other
Enumeration date
10/18/2006
Last updated
05/01/2009
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