Organization
GREAT LAKES MEDI-VAN, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK POSTELLI (PRESIDENT)
(773) 704-4360
Entity
Organization
Contact information
Practice address
4688 RIVER RD, SODUS, MI 49126-9788
(773) 704-4360
Mailing address
4688 RIVER RD, SODUS, MI 49126-9788
(773) 704-4360
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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