Organization · Type 2 NPI

Great Lakes Recovery Centers

Family Medicine Physician · Negaunee, MI

NPI number 1033864954 Active

Practice location

100 Malton Rd Suite 7 & Suite 8
Negaunee, MI 49866

Fax (906) 464-4043

Mailing address

100 Malton Rd
Negaunee, MI 49866-2001

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed
Adolescent Medicine (Family Medicine) Physician 207QA0000XNone listed
Adult Medicine Physician 207QA0505XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

About NPI 1033864954

Great Lakes Recovery Centers's National Provider Identifier is 1033864954, issued on Feb 18, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Negaunee, MI. The record was last updated on Dec 5, 2025.