GREAT LAKES REGENERATIVE MEDICINE, PLLC

AUBURN HILLS, MI
NPI1033758305
Entity TypeOrganization
Authorized ContactROBERT J BASAK
Clinic Director
248-829-0385
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2020-01-03
Last Update Date2020-02-27
Business Address
GREAT LAKES REGENERATIVE MEDICINE, PLLC
2251 N SQUIRREL RD STE 206
AUBURN HILLS, MI 48326-4602
Phone number: 248-829-0385
Mailing Address
GREAT LAKES REGENERATIVE MEDICINE, PLLC
148 GOLF CREST DR
ACWORTH, GA 30101-5968
Phone number: 248-829-0239
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