Organization
GREAT LAKES LOCUMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIAN MAJEED M.D. (OWNER)
(716) 863-2454
Entity
Organization
Contact information
Practice address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 447-6100
Mailing address
13 VISCOUNT DR, WILLIAMSVILLE, NY 14221-1766
(716) 863-2454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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