Organization
GREAT LAKES SENIORS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORIN HALL (PRESIDENT)
(586) 427-4453
Entity
Organization
Contact information
Practice address
27500 HOOVER RD, WARREN, MI 48093-4586
(800) 836-2904
Mailing address
33006 7 MILE RD, # 176, LIVONIA, MI 48152-1358
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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