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1598737769
GREAT LAKES FAMILY MEDICAL CENTER PLLC
DETROIT, MI
NPI
1598737769
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Entity Type
Organization
Authorized Contact
ARUNIMA SHIRVASTAVA
Owner
734-266-2780
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-02-02
Last Update Date
2020-08-22
Business Address
GREAT LAKES FAMILY MEDICAL CENTER PLLC
4420 E DAVISON ST
DETROIT, MI 48212-1744
Phone number: 313-369-1500
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Mailing Address
GREAT LAKES FAMILY MEDICAL CENTER PLLC
28801 PLYMOUTH RD
LIVONIA, MI 48150-2385
Phone number: 734-266-2780
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