Organization
GREAT LAKES HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA AILEEN CRAWFORD ANP-BC (OWNER/ANP)
(989) 839-4560
Entity
Organization
Contact information
Practice address
2726 N SAGINAW RD, MIDLAND, MI 48640-2633
(989) 839-4560
(989) 839-4565
Mailing address
2726 N SAGINAW RD, MIDLAND, MI 48640-2633
(989) 839-4560
(989) 839-4565
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4704175287
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1483761
—
MI
Enumeration date
12/18/2013
Last updated
04/02/2014
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