Great Lakes Gynecology & Aesthetics Inc, Pc in Escanaba - Gynecology
Great Lakes Gynecology & Aesthetics Inc, Pc - NPI 1366589996
Great Lakes Gynecology & Aesthetics Inc, Pc is a Gynecology in Escanaba, Michigan. Great Lakes Gynecology & Aesthetics Inc, Pc practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Great Lakes Gynecology & Aesthetics Inc, Pc is 1366589996. The last update date is 2009-09-28.
Great Lakes Gynecology & Aesthetics Inc, Pc's current location address is 126 South 25th Street, Escanaba, Michigan. You can contact this provider via phone number 9062339500 and fax number 9062339925. The mailing address for Great Lakes Gynecology & Aesthetics Inc, Pc is 126 South 25th Street, Escanaba, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Great Lakes Gynecology & Aesthetics Inc, Pc |
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Address | 126 South 25th Street, Escanaba, Michigan |
Phone Number | 9062339500 |
Fax Number | 9062339925 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN- |
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Authorized Official Name | Hamacher Luis David |
Credentials | MD,FACOG |
Telephone Number | 9062339500 |
NPI Number Detail
NPI Number | 1366589996 |
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Provider Enumeration Date | 2007-01-31 |
Last Updated Date | 2009-09-28 |
Provider Mailing Address Detail
Address | 126 South 25th Street |
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City | Escanaba |
State | Michigan (MI) |
Post Code | 49829 |
Phone Number | 9062339500 |
Fax Number | 9062339925 |
Provider's Primary Taxonomy Detail
Speciality | Gynecology |
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Taxonomy | 207Vg0400X |
Licence No | 207VG0400X |
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4662541 | MI | -- |
Post Comment/ Review Below
What is the Great Lakes Gynecology & Aesthetics Inc, Pc's 1366589996?
The Great Lakes Gynecology & Aesthetics Inc, Pc's NPI (National Provider Identifier) Number is 1366589996. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Great Lakes Gynecology & Aesthetics Inc, Pc's facilities are geographically located?
The facilities of Great Lakes Gynecology & Aesthetics Inc, Pc are physically situated at the following location: 126 South 25Th Street, Escanaba, MI, 49829.
What is the Great Lakes Gynecology & Aesthetics Inc, Pc's specialty and taxonomy code?
The Great Lakes Gynecology & Aesthetics Inc, Pc's specialty is Gynecology, and the corresponding taxonomy code is 207Vg0400X.
On what date did the Great Lakes Gynecology & Aesthetics Inc, Pc receive the assignment of its 1366589996 from the Centers for Medicare & Medicaid Services?
The Great Lakes Gynecology & Aesthetics Inc, Pc was issued its 1366589996 by the Centers for Medicare & Medicaid Services on 2007-01-31.
When was the information regarding Great Lakes Gynecology & Aesthetics Inc, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Great Lakes Gynecology & Aesthetics Inc, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-09-28.
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