100 STATE ST., ALBANY, 12207, NEW YORK
| Entity Name | GREAT LAKES EMERGENCY PHYSICIANS, IV, P.C. |
| Entity Number | 1457569 |
| Status | ACTIVE |
| Incorporation Date | 28th June 1990 |
| Dos Process Address | 2240 SOUTH AIRPORT ROAD, TRAVERSE CITY, 49684, MICHIGAN |
| Jurisdiction | MICHIGAN |
| County | NEW YORK |
| Legal form | FOREIGN PROFESSIONAL CORPORATION |