Great Lakes Medical Center Pllc

LBN: Great Lakes Medical Center Pllc
Great Lakes Medical Center Pllc is an health care organization with primary practice located at 2110 16Th Street Ste. 4, Bay City MI 48708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Great Lakes Medical Center Pllc can be contacted via phone (989) 891-9000, or through Ahmed, Tazeen via phone (989) 891-9000.

Contact Information

Primary practice address
2110 16Th Street Ste. 4 Bay City MI 48708
Phone: (989) 891-9000
Fax: (989) 891-9876
Website:
Map and Directions
Authorized official contact:
Name: Ahmed, Tazeen Doctor of Medicine (MD)
Phone: (989) 891-9000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X TA066513 Michigan

Profile Details

NPI number 1588986996
LBN Legal business name Great Lakes Medical Center Pllc
DBA Doing business as
Authorized official Ahmed, Tazeen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2010
Last updated Mar 30th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588986996 NPPES
Michigan MEDICAID 1588986996

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