| NPI | 1881312213 |
|---|---|
| Other Name | GREAT LAKES ORTHOPAEDIC CENTER EAST |
| Entity Type | Organization |
| Authorized Contact | CHRISSY DURGA Billing And Coding Manager 231-929-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |