# GREAT LAKES SPINE AND MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699473033
- **Authorized official:** DR. ALEXANDER O DALTON DC (OWNER)
- **Authorized official phone:** (989) 792-6702

## Contact information

- **Practice address:** 4266 STATE ST, SAGINAW, MI 48603-4035
- **Practice address phone:** (989) 792-6702
- **Practice address fax:** (989) 792-1128
- **Mailing address:** 4266 STATE ST, SAGINAW, MI 48603-4035
- **Mailing address phone:** (989) 792-6702
- **Mailing address fax:** (989) 792-1128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2023
- **Last updated:** 05/28/2025