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Organization

GREAT LAKES SPECIALISTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AAMIR ABBAS (OWNER OF ENTITY)
(877) 786-2040
Entity
Organization

Contact information

Practice address
1525 E BELTLINE AVE NE STE 101, GRAND RAPIDS, MI 49525-4598
(877) 786-2040
(302) 261-7479
Mailing address
1525 E BELTLINE AVE NE STE 101, GRAND RAPIDS, MI 49525-4598
(877) 786-2040
(302) 261-7479

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary

Other

Enumeration date
01/23/2025
Last updated
01/23/2025
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