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Organization

GREAT LAKES RESEARCH GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TERRI L VITTITOW (SITE DIRECTOR)
(989) 895-9100
Entity
Organization

Contact information

Practice address
200 S WENONA ST STE 170, BAY CITY, MI 48706-8831
(989) 895-9100
(989) 895-9200
Mailing address
200 S WENONA ST STE 170, BAY CITY, MI 48706-8831
(989) 895-9100
(989) 895-9200

Taxonomy

Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary

Other

Enumeration date
04/02/2018
Last updated
04/02/2018
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