Organization
GREAT LAKES PATHWAY MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN R TIJERINA (OWNER)
(989) 529-4603
Entity
Organization
Contact information
Practice address
3310 STATE STREET RD, BAY CITY, MI 48706-1876
(989) 529-4603
Mailing address
3310 STATE STREET RD, BAY CITY, MI 48706-1876
(989) 529-4603
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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