| NPI | 1215104724 |
|---|---|
| Doing Business As | GREAT LAKES SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | HUGO LOPEZ-NEGRETE Managing Partner 810-733-7560 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2013-08-14 |