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1609265941
GREAT LAKES DIAGNOSTIC FACILITY LLC
CARO, MI
NPI
1609265941
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Entity Type
Organization
Authorized Contact
WAQAR MIAN
Owner
989-780-4415
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301059644)
Enumeration Date
2015-01-09
Last Update Date
2015-09-10
Business Address
GREAT LAKES DIAGNOSTIC FACILITY LLC
1525 W CARO RD
CARO, MI 48723-9686
Phone number: 989-672-2100
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Mailing Address
GREAT LAKES DIAGNOSTIC FACILITY LLC
3061 CHRISTY WAY
SAGINAW, MI 48603-2224
Phone number: 989-791-2455
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