| NPI | 1366528200 |
|---|---|
| Doing Business As | GREAT LAKES FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ZDRODOWSKI Administrator 231-876-6730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |