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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

NPI # 1811094295
LBN Legal business name GREAT LAKES MEDICAL ASSOCIATES, PC
Authorized official PRAKASH SARVEPALLI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 09/28/2023 - About 3 years ago
Identifiers
MI Other 0E91083 BCBSM
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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