Organization
GREAT LAKES EXTREMITIES AND ORTHOPEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY E JAKLITSCH (MEMBER)
(330) 869-6344
Entity
Organization
Contact information
Practice address
900 INDIAN HILL DR, WADSWORTH, OH 44281-8536
(330) 869-6344
(330) 869-6366
Mailing address
900 INDIAN HILL DR, WADSWORTH, OH 44281-8536
(330) 869-6344
(330) 869-6366
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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