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Organization
GREAT LAKES MEDICAL, P,C,
Active
Organization
GREAT LAKES MEDICAL, P,C,
Active
Other names
GLADWIN URGENT CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WAYNE MACAULEY M.D. (OWNER)
(517) 449-2452
Entity
Organization
Contact information
Practice address
1277 E CEDAR AVE, SUITE A, GLADWIN, MI 48624-7004
(989) 426-1100
Mailing address
1277 E CEDAR AVE, SUITE A, GLADWIN, MI 48624-7004
(989) 426-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
04411G
MI
Other
Enumeration date
05/13/2013
Last updated
07/15/2013
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