GREAT LAKES PROVIDER NETWORK, LLC

CLINTON TOWNSHIP, MI
NPI1649710823
Entity TypeOrganization
Authorized ContactCOLLEEN SHEFFERLY
President
586-944-0043
Organization Subpart ?Yes
Primary Taxonomy231H00000X Audiologist
Enumeration Date2017-03-07
Last Update Date2017-03-07
Business Address
GREAT LAKES PROVIDER NETWORK, LLC
33900 HARPER AVE STE A101
CLINTON TOWNSHIP, MI 48035-4258
Phone number: 586-359-2649
Mailing Address
GREAT LAKES PROVIDER NETWORK, LLC
33900 HARPER AVE STE A101
CLINTON TOWNSHIP, MI 48035-4258
Phone number: 586-359-2649
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