Organization
GREAT LAKES MEDICAL SERVICES LLC
Active
Other names
Great Lakes Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE PRUETER (PRESIDENT)
(419) 872-5343
Entity
Organization
Contact information
Practice address
25660 DIXIE HWY, PERRYSBURG, OH 43551-2167
(419) 872-5343
(419) 872-2465
Mailing address
25660 DIXIE HWY, PERRYSBURG, OH 43551-2167
(419) 872-5343
(419) 872-2465
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
1515723
OH
Other
Enumeration date
10/18/2006
Last updated
05/01/2009
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