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1164591053
GREAT LAKES PHYSICIANS PC
LIVONIA, MI
NPI
1164591053
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Entity Type
Organization
Authorized Contact
JAYSHREE DESAI
Owner
734-591-7666
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-11-07
Last Update Date
2012-09-28
Business Address
GREAT LAKES PHYSICIANS PC
36180 FIVE MILE ROAD
LIVONIA, MI 48154
Phone number: 734-591-7666
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Mailing Address
GREAT LAKES PHYSICIANS PC
36180 FIVE MILE ROAD
LIVONIA, MI 48154
Phone number: 734-591-7666
Copy
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