| NPI | 1972621753 |
|---|---|
| Other Name | GREAT LAKES BAY HEALTH CENTERS DAVID R GAMEZ |
| Entity Type | Organization |
| Authorized Contact | LISA GALONSKA Vice President 989-759-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-09-19 |