Organization
GREAT LAKES EMERGENCY MEDICINE PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA R KOZLOWSKI (MANAGER)
(419) 502-6734
Entity
Organization
Contact information
Practice address
1400 W MAIN STREET, BELLEVUE, OH 44811-9088
(419) 483-4040
Mailing address
PO BOX 2375, SANDUSKY, OH 44871-2375
(419) 502-6734
(419) 502-6731
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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