Great Lakes Pediatric Associates

NPI 1023342474 - Pediatrics - 208000000X

NPI Details
NPI 1023342474
Enumeration Date 10/01/2009
Last Updated 10/01/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name BETH ILEEN BETH
Position PRACTICE MANAGER
Phone (517) 887-3000
Fax
Practice Location
3400 PINETREE RD
STE 102
LANSING MI, 48911-4286, US
Phone (517) 887-3000
Fax
Business Location
3400 PINETREE RD
STE 102
LANSING MI, 48911-4286, US
Phone (517) 887-3000
Fax
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number 4301063626
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According to our database, Great Lakes Pediatric Associates NPI is 1023342474, taxonomy code is 208000000X and license number is 4301063626, license state is located at Michigan. Great Lakes Pediatric Associates physically located at 3400 Pinetree Rd, Lansing MI, 48911-4286. NPI Number 1033115704 has the healthcare provider type.

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1023342474 NPI number is provided on an as is basis without warranty of any kind. 1023342474 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes Pediatric Associates are for informational purposes only.