Organization
GREAT LAKES MED SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YAIMA DELGADO (PRESIDENT)
(313) 582-7126
Entity
Organization
Contact information
Practice address
6700 WYOMING ST, DEARBORN, MI 48126-2345
(313) 582-6126
(888) 988-2202
Mailing address
6700 WYOMING ST, DEARBORN, MI 48126-2345
(313) 582-6126
(888) 988-2202
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
09/29/2011
Last updated
10/06/2011
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