Organization
GREAT LAKES BAY HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GALONSKA (VICE PRESIDENT)
(989) 759-6464
Entity
Organization
Contact information
Practice address
1522 JANES ST, SAGINAW, MI 48601-1819
(989) 755-0316
(989) 755-0956
Mailing address
501 LAPEER, SAGINAW, MI 48607-1208
(989) 759-6464
(989) 399-8233
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300G311360
BLUE CROSS
MI
Enumeration date
09/06/2006
Last updated
09/20/2016
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