| NPI | 1134918089 |
|---|---|
| Doing Business As | GREAT LAKES BAY HEALTH CENTERS MOBILE EYE CARE |
| Entity Type | Organization |
| Authorized Contact | DAWN M CHRISTIAN Provider Enrollment 989-759-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |