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Contact Information

GREAT LAKES MEDICAL ASSOCIATES, PC
1021 E. MAIN STREET
EDMORE, MI48829
 Phone: 989-427-5320
 Fax: 989-427-8220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GREAT LAKES MEDICAL ASSOCIATES PC · (Female)

NPI # 1811094295
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2006
Last updated 09/28/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI Other 0E91083 BCBSM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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