Whalio Doctors

NPI 1003273129

Great Lakes Surgery Center LLC

Organisation Ambulatory Surgical Clinic/Center Saint Joseph, MI

Practice location

Address
2848 Niles Rd Suite B, Saint Joseph, MI 49085-3352
Phone
(269) 428-3304

Authorised official

Name
David N. Brown
Title
Manager Member
Phone
(269) 428-3300

Registered specialties (2)

Ambulatory Surgical Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QA1903X
Ophthalmologic Surgery Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QS0132X

Registry record

NPI
1003273129
Entity type
Organization
NPI issued
20 Jan 2016
Record last updated
12 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.