Organization
GREAT LAKES VASCULAR CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAQID HUSSAIN M.D. (OWNER)
(810) 985-1884
Entity
Organization
Contact information
Practice address
2603 ELECTRIC AVE, SUITE C, PORT HURON, MI 48060-6588
(810) 984-8470
(810) 966-3025
Mailing address
2603 ELECTRIC AVE, SUITE C, PORT HURON, MI 48060-6588
(810) 984-8470
(810) 966-3025
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301403638
MI
Other
Enumeration date
06/23/2007
Last updated
08/22/2020
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