Organization
GREAT LAKES MEDICAL SPECIALISTS PLLC
Active
Organization
GREAT LAKES MEDICAL SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA ONEY MD (CEO)
(517) 980-2826
Entity
Organization
Contact information
Practice address
20870 MACK AVENUE, GROSSE POINTE, MI 48236
(517) 980-2826
Mailing address
20870 MACK AVENUE, GROSSE POINTE, MI 48236
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
MI
Other
Enumeration date
08/06/2012
Last updated
02/04/2016
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