Organization
GREAT LAKES FAMILY HEALTH CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODAMES D DEDICATORIA (AUTHORIZED OFFICIAL)
(989) 790-0100
Entity
Organization
Contact information
Practice address
3424 DAVENPORT AVE, SAGINAW, MI 48602-3365
(989) 790-0100
(989) 790-0241
Mailing address
3424 DAVENPORT AVE, SAGINAW, MI 48602-3365
(989) 790-0100
(989) 790-0241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
10/03/2017
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