| NPI | 1629394457 |
|---|---|
| Doing Business As | GREAT LAKES MSK US INC. |
| Entity Type | Organization |
| Authorized Contact | VERONICA RODRIGUEZ President 313-258-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: MI 41833) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |