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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREAT LAKES PEDIATRIC GI CLINIC PLLC

Active Organization

GREAT LAKES PEDIATRIC GI CLINIC PLLC is a Pediatric Gastroenterology organization located in BINGHAM FARMS, Michigan. NPI 1023758257 is currently active in the NPPES registry. Verify at CMS.

Pediatric Gastroenterology · BINGHAM FARMS, MI

Registration Details

NPI Number
1023758257
Provider Type
Organization
NPI Issued
Mar 29, 2022 (4.4160336556075 yrs)
Last Updated
Mar 29, 2022

Practice Information

Address
31000 TELEGRAPH RD STE 100
BINGHAM FARMS, MI, 480254321
Browse MI providers · Browse ZIP 48025
Phone
2488545309
Primary Specialty
Pediatric Gastroenterology
2080P0206X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.