GREAT LAKES SPORTS MEDICINE AND CONCUSSION CLINIC is a specialist in Saint Joseph, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GREAT LAKES SPORTS MEDICINE AND CONCUSSION CLINIC NPI is 1720441728. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
3906 STONEGATE PARK STE A
SAINT JOSEPH, MI
ZIP 49085-145
Phone: (269) 408-1644
Fax: (269) 428-0019
The provider's authorized official is Christopher Trigger .
The authorized official title is Owner and has the following contact phone number (269) 408-1644.
The enumeration date for this NPI number is 3/29/2016 and was last updated on 3/29/2016.