| NPI | 1528091360 |
|---|---|
| Doing Business As | GREAT LAKES ENDOSCOPY CENTER |
| Entity Type | Organization |
| Authorized Contact | JUSTINE B CORDAY Chief Development Officer 214-953-9365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-08-06 |