| Great Lakes Gastroenterology Consultants, Llc | |
|
2702 Navarre Ave Suite 106 Oregon OH 43616-3223 | |
| (419) 696-5555 | |
| (419) 696-8499 |
| Full Name | Great Lakes Gastroenterology Consultants, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2702 Navarre Ave, Oregon, Ohio |
| Authorized Official Name and Position | Sudhakar N. Pangulur (PRESIDENT) |
| Authorized Official Contact | 4196965555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Gastroenterology Consultants, Llc 2702 Navarre Ave Suite 106 Oregon OH 43616-3223 Ph: (419) 696-5555 | Great Lakes Gastroenterology Consultants, Llc 2702 Navarre Ave Suite 106 Oregon OH 43616-3223 Ph: (419) 696-5555 |
| NPI Number | 1821155177 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 05/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821155177 | NPI | - | NPPES |
| 2286262 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Ohio) | Primary |
Manuel S Bernardo M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3515 Navarre Ave, Oregon, OH 43616 Phone: 419-691-5484 | |
Horizons Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2741 Navarre Ave, Ste 401, Oregon, OH 43616 Phone: 419-693-7071 Fax: 419-693-3051 | |
Bay Meadows Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2815 Dustin Rd, Suite C, Oregon, OH 43616 Phone: 419-691-6781 Fax: 419-691-0082 | |
Jack Siebenaler Ii Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3232 Navarre Ave, Oregon, OH 43616 Phone: 419-691-0636 Fax: 419-693-1412 | |
Josephine F Collaco Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Isaac Streets Dr, Suite 104, Oregon, OH 43616 Phone: 419-698-4642 Fax: 419-698-8597 | |
Ingrid A. Alcover, Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Isaac Streets Dr, Suite 133, Oregon, OH 43616 Phone: 419-696-7727 Fax: 419-696-7737 | |
Northwest Ohio Primary Care Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2815 Dustin Rd, Suite C, Oregon, OH 43616 Phone: 419-691-6781 Fax: 419-691-0082 |