# GLEC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Lakes Endoscopy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528091360
- **Authorized official:** MS. JUSTINE B CORDAY (CHIEF DEVELOPMENT OFFICER)
- **Authorized official phone:** (214) 953-9365

## Contact information

- **Practice address:** 3903 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9149
- **Practice address phone:** (269) 408-1100
- **Practice address fax:** (269) 408-1329
- **Mailing address:** 3903 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9149
- **Mailing address phone:** (269) 408-1100
- **Mailing address fax:** (269) 408-1329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 08/06/2007