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GREAT LAKES MEDICAL CENTER PC NPI 1508955816


NPI Information

NPI: 1508955816
Provider Name: GREAT LAKES MEDICAL CENTER PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
27500 HOOVER RD
WARREN, MI
ZIP 48093
Phone: (586) 427-4453
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GREAT LAKES MEDICAL CENTER PC is a specialist in Warren, 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 MEDICAL CENTER PC NPI is 1508955816. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27500 HOOVER RD
WARREN, MI
ZIP 48093-586
Phone: (586) 427-4453
Fax: (586) 427-5573

The provider's authorized official is Linda H. Starr .
The authorized official title is Director and has the following contact phone number (317) 598-8880.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.