Organization
GREAT LAKES BRAIN AND SPINE INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARISH RAWAL MD (PRESIDENT)
(517) 782-0500
Entity
Organization
Contact information
Practice address
900 E MICHIGAN AVE, SUITE 109, JACKSON, MI 49201-2457
(517) 782-0500
(517) 782-1713
Mailing address
900 E MICHIGAN AVE, SUITE 109, JACKSON, MI 49201-2457
(517) 782-0500
(517) 782-1713
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MI
Other
Enumeration date
05/24/2007
Last updated
08/13/2007
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