| NPI | 1952498198 |
|---|---|
| Former Legal Business Name | GREAT LAKES CENTER OF RHEUMATOLOGY WEST |
| Entity Type | Organization |
| Authorized Contact | CAROL A BEALS President/Owner 517-321-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 038290) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-03-10 |