Great Lakes Neurosurgical Associates, Pc

LBN: Great Lakes Neurosurgical Associates, Pc
Great Lakes Neurosurgical Associates, Pc is an health care organization with primary practice located at 3350 Eagle Park Dr Ne Ste 102 , Grand Rapids MI 49525-4570. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Great Lakes Neurosurgical Associates, Pc can be contacted via phone (616) 454-3465, or through Santos, Lisa via phone (616) 242-7042.

Contact Information

Primary practice address
3350 Eagle Park Dr Ne Ste 102 Grand Rapids MI 49525-4570
Phone: (616) 454-3465
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Santos, Lisa
Phone: (616) 242-7042

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X LH029420 Michigan

Profile Details

NPI number 1366590929
LBN Legal business name Great Lakes Neurosurgical Associates, Pc
DBA Doing business as
Authorized official Santos, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Oct 24th, 2023 - about last year

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 1366590929 NPPES
Michigan Other 1245311059 NPI
Michigan Other 1326144049 NPI
Michigan Other 1497836282 NPI
Michigan Other 1659452472 NPI
Michigan Other 1225119027 NPI
Michigan Other 1770664583 NPI

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