Organization
GREAT LAKES GERIATRICS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH PARKER M D (PRESIDENT)
(586) 731-8400
Entity
Organization
Contact information
Practice address
50505 SCHOENHERR RD, SUITE 340, SHELBY TOWNSHIP, MI 48315-3140
(586) 731-8400
(586) 731-8406
Mailing address
50505 SCHOENHERR RD, SUITE 340, SHELBY TOWNSHIP, MI 48315-3140
(586) 731-8400
(586) 731-8406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/16/2012
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