Great Lakes Medical Center Pc in Livonia - Specialist
Great Lakes Medical Center Pc - NPI 1508955816
Great Lakes Medical Center Pc is a Specialist in Livonia, Michigan. Great Lakes Medical Center Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Great Lakes Medical Center Pc is 1508955816. The last update date is 2020-08-22.
Great Lakes Medical Center Pc's current location address is 33006 7 Mile Rd, Livonia, Michigan. You can contact this provider via phone number 5864274453 and fax number 5864275573. The mailing address for Great Lakes Medical Center Pc is 33006 7 Mile Rd, Livonia, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Medical Center Pc |
|---|---|
| Address | 33006 7 Mile Rd, Livonia, Michigan |
| Phone Number | 5864274453 |
| Fax Number | 5864275573 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Starr H. Linda |
| Telephone Number | 3175988880 |
NPI Number Detail
| NPI Number | 1508955816 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 33006 7 Mile Rd |
|---|---|
| City | Livonia |
| State | Michigan (MI) |
| Post Code | 481521358 |
| Phone Number | 5864274453 |
| Fax Number | 5864275573 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identifier code issued to Great Lakes Medical Center Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Great Lakes Medical Center Pc has been assigned the NPI (National Provider Identifier) 1508955816. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Great Lakes Medical Center Pc's physical address?
The Great Lakes Medical Center Pc is physically located at 33006 7 Mile Rd, in the city of Livonia, MI, with the postal code 481521358.
What is Great Lakes Medical Center Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Great Lakes Medical Center Pc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508955816 to Great Lakes Medical Center Pc?
The Centers for Medicare & Medicaid Services originally issued the 1508955816 to Great Lakes Medical Center Pc on 2006-10-12.
As of what date were the details related to Great Lakes Medical Center Pc most recently updated or revised?
The information pertaining to Great Lakes Medical Center Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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