| NPI | 1437477619 |
|---|---|
| Doing Business As | GREAT LAKES BAY SURGERY & ENDSCOPY CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS NOYLE Business Manager 989-839-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |