Organization
GREAT LAKES PAIN & REHAB, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD SUSSMAN (WORKER)
(810) 733-0600
Entity
Organization
Contact information
Practice address
G3237 BEECHER RD, SUITE B, FLINT, MI 48532-3695
(810) 733-0600
Mailing address
G3237 BEECHER RD, SUITE B, FLINT, MI 48532-3695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MI
Other
Enumeration date
03/28/2012
Last updated
04/02/2012
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