Organization
GREAT LAKES MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN KYLE BRUELER (PRESIDENT)
(419) 872-5343
Entity
Organization
Contact information
Practice address
1021 SANDUSKY ST, STE C, PERRYSBURG, OH 43551
(419) 872-5343
(419) 872-7465
Mailing address
1021 SANDUSKY ST, STE C, PERRYSBURG, OH 43551
(419) 872-5343
(419) 872-7465
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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