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Contact Information

GREAT LAKES MEDICAL SPECIALISTS PLLC
20870 MACK AVENUE
GROSSE POINTE, MI48236
 Phone: 517-980-2826
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for GREAT LAKES MEDICAL SPECIALISTS PLLC

NPI Number 1245587633
LBN Legal business name GREAT LAKES MEDICAL SPECIALISTS PLLC
Authorized official THERESA ONEY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/06/2012
Last updated 02/04/2016 - About 10 years ago
Identifiers n/a
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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