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1053787853
GREAT LAKES MEDICAL GROUP PC
EASTPOINTE, MI
NPI
1053787853
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Entity Type
Organization
Authorized Contact
MOHAMAD RAHBAR
President
313-418-9952
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 5315012655)
Enumeration Date
2015-08-15
Last Update Date
2015-08-15
Business Address
GREAT LAKES MEDICAL GROUP PC
19070 E 10 MILE RD
EASTPOINTE, MI 48021-1449
Phone number: 313-418-9952
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Mailing Address
GREAT LAKES MEDICAL GROUP PC
19070 E 10 MILE RD
EASTPOINTE, MI 48021-1449
Phone number: 313-418-9952
Copy
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