Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREAT LAKES PEDIATRIC NEUROLOGY
Active OrganizationGREAT LAKES PEDIATRIC NEUROLOGY is a Medical Specialty Clinic organization located in DEARBORN, Michigan. NPI 1417017476 is currently active in the NPPES registry. Verify at CMS.
Medical Specialty Clinic · DEARBORN, MI
Registration Details
- NPI Number
- 1417017476
- Provider Type
- Organization
- NPI Issued
- Dec 11, 2006 (19.70769750472 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
1331 MONROE STDEARBORN, MI, 481242888Browse MI providers · Browse ZIP 48124
- Phone
- 2488511700
- Fax
- 2488513830
- Primary Specialty
-
Medical Specialty Clinic
261QM2500X
Other Medical Specialty Clinic Organizations in DEARBORN, MI
| Name | NPI |
|---|---|
| MICHIGAN CENTER FOR DERMATOLOGY PLLC | 1053527226 |
| OSTEOPOROSIS TREATMENT CENTERS OF AMERICA, PC | 1093907677 |
| JUAN A. ESTIGARRIBIA M.D. PC. | 1760651012 |
| EHK ENDOVASCULAR PLLC | 1477845824 |
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.