Organization
GLEC PLLC
Active
Other names
Great Lakes Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUSTINE B CORDAY (CHIEF DEVELOPMENT OFFICER)
(214) 953-9365
Entity
Organization
Contact information
Practice address
3903 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9149
(269) 408-1100
(269) 408-1329
Mailing address
3903 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9149
(269) 408-1100
(269) 408-1329
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
08/06/2007
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