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 |