| Great Lakes Geriatrics Plc | |
| 
					50505 Schoenherr Rd Suite 340 Shelby Township MI 48315-3140  | |
| (586) 731-8400 | |
| (586) 731-8406 | 
| Full Name | Great Lakes Geriatrics Plc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 50505 Schoenherr Rd, Shelby Township, Michigan | 
| Authorized Official Name and Position | Seth Parker (PRESIDENT) | 
| Authorized Official Contact | 5867318400 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Great Lakes Geriatrics Plc 50505 Schoenherr Rd Suite 340 Shelby Township MI 48315-3140 Ph: (586) 731-8400  | Great Lakes Geriatrics Plc 50505 Schoenherr Rd Suite 340 Shelby Township MI 48315-3140 Ph: (586) 731-8400  | 
| NPI Number | 1265797583 | 
|---|---|
| Provider Enumeration Date | 07/12/2012 | 
| Last Update Date | 07/16/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265797583 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
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