GREAT LAKES PEDIATRICS is an adolescent medicine pediatrics in Warren, MI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. GREAT LAKES PEDIATRICS NPI is 1417126715. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
26000 HOOVER RD
103
WARREN, MI
ZIP 48089-167
Phone: (586) 427-1351
The provider's authorized official is Sundus Rummani-askar .
The authorized official title is President and has the following contact phone number (586) 427-1351.
The CLIA number assigned to this NPI record is 23D2023019 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/21/2008 and was last updated on 2/21/2008.