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Contact Information

GREAT LAKES MEDICAL SERVICES LLC
1021 SANDUSKY ST
STE C
PERRYSBURG, OH43551
 Phone: 419-872-5343
 Fax: 419-872-7465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for GREAT LAKES MEDICAL SERVICES LLC

NPI Number 1326152091
LBN Legal business name GREAT LAKES MEDICAL SERVICES LLC
Authorized official EVAN BRUELER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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