Great Lakes Gastroenterology Pllc in Saint Joseph - Gastroenterology
Great Lakes Gastroenterology Pllc - NPI 1780691899
Great Lakes Gastroenterology Pllc is a Gastroenterology in Saint Joseph, Michigan. Great Lakes Gastroenterology Pllc practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Great Lakes Gastroenterology Pllc is 1780691899. The last update date is 2020-08-22.
Great Lakes Gastroenterology Pllc's current location address is 3903 Hollywood Rd, Saint Joseph, Michigan. You can contact this provider via phone number 2694081100 and fax number 2694081329. The mailing address for Great Lakes Gastroenterology Pllc is 3903 Hollywood Rd, Saint Joseph, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Great Lakes Gastroenterology Pllc |
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Address | 3903 Hollywood Rd, Saint Joseph, Michigan |
Phone Number | 2694081100 |
Fax Number | 2694081329 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DO |
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Authorized Official Name | Jones A Bruce |
Credentials | M.D |
Telephone Number | 2694081100 |
NPI Number Detail
NPI Number | 1780691899 |
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Provider Enumeration Date | 2006-08-02 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 3903 Hollywood Rd |
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City | Saint Joseph |
State | Michigan (MI) |
Post Code | 490859149 |
Phone Number | 2694081100 |
Fax Number | 2694081329 |
Provider's Primary Taxonomy Detail
Speciality | Gastroenterology |
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Taxonomy | 207Rg0100X |
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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What is the unique identification code assigned to Great Lakes Gastroenterology Pllc by the Centers for Medicare & Medicaid Services?
The Great Lakes Gastroenterology Pllc has been issued the NPI (National Provider Identifier) 1780691899. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Great Lakes Gastroenterology Pllc's physical address?
The Great Lakes Gastroenterology Pllc is physically located at 3903 Hollywood Rd, in the city of Saint Joseph, MI, with the postal code 490859149.
What is Great Lakes Gastroenterology Pllc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Great Lakes Gastroenterology Pllc's specialized field of practice is Gastroenterology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0100X.
On what date did Great Lakes Gastroenterology Pllc receive its 1780691899 assignment from the Centers for Medicare & Medicaid Services?
The Great Lakes Gastroenterology Pllc was assigned its 1780691899 on 2006-08-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Great Lakes Gastroenterology Pllc last refreshed?
The information related to the Great Lakes Gastroenterology Pllc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.