NPI 1750080545
Great Lakes Spine and Medical PLLC
Practice location
- Address
- 4573 Willoughby Rd STE B, Holt, MI 48842-2188
- Phone
- (517) 699-2646
- Fax
- (517) 699-5434
Authorised official
- Name
- Jeffrey a Kelly
- Title
- Owner
- Phone
- (989) 792-6702
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1750080545
- Entity type
- Organization
- NPI issued
- 1 Mar 2023
- Record last updated
- 1 Mar 2023
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.