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Organization

GREAT LAKES EYE INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE MARIE HEATH (CREDENTIALING)
(989) 793-2820
Entity
Organization

Contact information

Practice address
800 WOODSIDE AVE, BAY CITY, MI 48708-5468
(989) 793-2820
(989) 755-1463
Mailing address
2393 SCHUST RD, SAGINAW, MI 48603-1334
(989) 793-2820
(989) 755-1463

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427090976
MI
Enumeration date
05/04/2020
Last updated
05/04/2020
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