Organization
GREAT LAKES MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA H. STARR (DIRECTOR)
(317) 598-8880
Entity
Organization
Contact information
Practice address
27500 HOOVER RD, WARREN, MI 48093-4586
(586) 427-4453
(586) 427-5573
Mailing address
33006 7 MILE RD, #176, LIVONIA, MI 48152-1358
(586) 427-4453
(586) 427-5573
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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