Organization
GREAT LAKES THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE J SHARRARD (CEO)
(989) 326-0929
Entity
Organization
Contact information
Practice address
3491 S HURON RD, BAY CITY, MI 48706-1547
(989) 667-6469
(989) 488-4444
Mailing address
3491 S HURON RD, BAY CITY, MI 48706-1547
(989) 326-0929
(989) 488-4444
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/24/2010
Last updated
07/02/2012
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