Organization
GREAT LAKES NEUROTECHNOLOGIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TARLER (DIRECTOR QUALITY & REGULATORY)
(216) 361-5410
Entity
Organization
Contact information
Practice address
6100 ROCKSIDE WOODS BLVD N STE 415, CLEVELAND, OH 44131-2339
(216) 361-5410
(216) 361-5420
Mailing address
6100 ROCKSIDE WOODS BLVD N STE 415, CLEVELAND, OH 44131-2339
(216) 361-5410
(216) 361-5420
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
06/22/2022
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