Organization
GREAT LAKES READING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILESH PATEL MD (OWNER)
(720) 287-3093
Entity
Organization
Contact information
Practice address
21031 MICHIGAN AVE, DEARBORN, MI 48124-2339
(720) 287-3093
Mailing address
DEPT 1137, TULSA, OK 74182-0001
(720) 287-3093
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
09/26/2019
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