Organization
GREAT LAKES BAY HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GALONSKA (VICE PRESIDENT)
(989) 759-6464
Entity
Organization
Contact information
Practice address
501 LAPEER, DAVID K GAMEZ COMMUNITY HEALTH CENTER, SAGINAW, MI 48607
(989) 759-6400
(989) 759-6423
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1203
(989) 759-6464
(989) 399-8233
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N801095
BLUE CROSS
MI
Enumeration date
09/27/2006
Last updated
02/19/2019
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