| NPI | 1184705121 |
|---|---|
| Doing Business As | GREAT LAKES URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | KYLE PRUETER President 419-872-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OH 1515723) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2009-05-01 |