Organization
GREAT LAKES MEDICAL PC
Active
Other names
Gladwin Urgent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W MACAULEY MD (AGENT)
(989) 516-4317
Entity
Organization
Contact information
Practice address
1277 E CEDAR AVENUE, SUITE A, GLADWIN, MI 48624-7004
(989) 426-1100
(989) 426-1400
Mailing address
1277 E CEDAR AVE, SUITE A, GLADWIN, MI 48624-7004
(989) 426-1100
(989) 426-1400
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
4301042308
MI
261QR1300X
Rural Health Clinic/Center
Primary
—
MI
Other
Enumeration date
02/07/2012
Last updated
08/27/2012
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