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

GREAT LAKES MEDICAL CLINIC, PLLC

Active Organization

GREAT LAKES MEDICAL CLINIC, PLLC is a Primary Care Clinic organization located in BENTON HARBOR, Michigan. NPI 1669614152 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · BENTON HARBOR, MI

Registration Details

NPI Number
1669614152
Provider Type
Organization
NPI Issued
Mar 30, 2009 (17.39881744219 yrs)
Last Updated
Mar 30, 2009
License
5601002947 (MI)

Practice Information

Address
1850 PIPESTONE RD
SUITE 102-B
BENTON HARBOR, MI, 490222304
Browse MI providers · Browse ZIP 49022
Phone
2699258386
Fax
2699254085
Primary Specialty
Primary Care Clinic
261QP2300X

Other Primary Care Clinic Organizations in BENTON HARBOR, MI

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.