| NPI | 1942836663 |
|---|---|
| Doing Business As | GREAT LAKES CENTER OF RHEUMATOLOGY WEST |
| Entity Type | Organization |
| Authorized Contact | PATRICIA SLACK Billing Manager 517-321-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2023-12-29 |