GREAT LAKES MEDICAL CLINIC, PLLC is a primary care clinic center in Benton Harbor, MI. GREAT LAKES MEDICAL CLINIC, PLLC NPI is 1669614152. The provider is registered as an organization entity type.
The provider's business location address is:
1850 PIPESTONE RD
SUITE 102-B
BENTON HARBOR, MI
ZIP 49022-304
Phone: (269) 925-8386
Fax: (269) 925-4085
The provider's authorized official is Dawn Renee Schreckengust .
The authorized official title is President and has the following contact phone number (269) 925-8386.
The enumeration date for this NPI number is 3/30/2009 and was last updated on 3/30/2009.