Organization
GREAT LAKES MEDICAL TRANSPORT
Active
Organization
GREAT LAKES MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY ANN SAUVE (OWNER)
(989) 422-5625
Entity
Organization
Contact information
Practice address
2600 TONAWANDA LAKE RD, GRAWN, MI 49637-9616
(989) 422-5629
Mailing address
2831 S LOXLEY RD, HOUGHTON LAKE, MI 48629-9246
(989) 422-5625
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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