Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREAT LAKES PHYSIATRISTS PC
Active OrganizationGREAT LAKES PHYSIATRISTS PC is a Physical Medicine & Rehabilitation organization located in ST CLAIR SHORES, Michigan. NPI 1811096548 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · ST CLAIR SHORES, MI
Registration Details
- NPI Number
- 1811096548
- Provider Type
- Organization
- NPI Issued
- Sep 21, 2006 (19.894333350114 yrs)
- Last Updated
- Sep 14, 2020
- License
-
4301045967 (MI)
Practice Information
- Address
-
25311 LITTLE MACK AVESUITE BST CLAIR SHORES, MI, 48081Browse MI providers · Browse ZIP 48081
- Phone
- 5864982400
- Fax
- 5864982800
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physical Medicine & Rehabilitation
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.