NPI 1568084333

Great Lakes Addiction Recovery Services PLLC

Organisation Addiction Medicine (Family Medicine) Physician Adrian, MI

Practice location

Address: 142 E Maumee St, Adrian, MI 49221-2735
Phone: (517) 306-2244
Fax: (866) 465-0269

Authorised official

Name: Robyn M Jones
Title: Business Manager
Phone: (517) 306-2244

Registered specialties

Addiction Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QA0401X

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Registry record

NPI: 1568084333
Entity type: Organization
NPI issued: 14 May 2020
Record last updated: 14 May 2020

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.