| NPI | 1063481737 |
|---|---|
| Doing Business As | GREAT LAKES PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | TIM BUIT CEO 419-483-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35068821) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35090068) |
| 207Q00000X Family Medicine (Licence: OH 34012014) | |
| 207V00000X Obstetrics & Gynecology (Licence: OH 34009034) | |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35127940) | |
| 207X00000X Orthopaedic Surgery (Licence: OH 34006462) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2023-10-23 |