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1255370094
GREAT LAKES PAIN CONSULT PLLC
BAY CITY, MI
NPI
1255370094
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Entity Type
Organization
Authorized Contact
THERON HUGH GROVER
President
989-686-6911
Organization Subpart ?
No
Primary Taxonomy
207LP2900X Anesthesiology Pain Medicine
Enumeration Date
2006-06-06
Last Update Date
2014-06-19
Business Address
GREAT LAKES PAIN CONSULT PLLC
4121 SHRESTHA DR
BAY CITY, MI 48706
Phone number: 989-686-6900
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Mailing Address
GREAT LAKES PAIN CONSULT PLLC
61 COMMERCE AVE SW
GRAND RAPIDS, MI 49503-4124
Phone number: 616-940-0660
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