Organization
GREAT LAKES SUGICAL PARTNERS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M. BRAUN (OFFICE MANAGER)
(419) 690-0888
Entity
Organization
Contact information
Practice address
1050 ISAAC STREETS DR, SUITE 131, OREGON, OH 43616-3291
(419) 690-0888
(419) 690-8228
Mailing address
1050 ISAAC STREETS DR, SUITE 131, OREGON, OH 43616-3291
(419) 690-0888
(419) 690-8228
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
03/19/2008
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