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

GREAT LAKES FAMILY MEDICAL CENTER PLLC

Active Organization

GREAT LAKES FAMILY MEDICAL CENTER PLLC is a Primary Care Clinic organization located in DETROIT, Michigan. NPI 1982881025 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · DETROIT, MI

Registration Details

NPI Number
1982881025
Provider Type
Organization
NPI Issued
Jan 30, 2008 (18.541023533696 yrs)
Last Updated
Sep 4, 2013

Practice Information

Address
4420 E DAVISON ST
DETROIT, MI, 482121744
Browse MI providers · Browse ZIP 48212
Phone
3133691500
Fax
3133691205
Primary Specialty
Primary Care Clinic
261QP2300X
Additional Specialty
Primary Care Clinic
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.