Organization · Type 2 NPI

Great Lakes Clinical Group, P.c

Internal Medicine Physician · Waterford, MI

NPI number 1194673889 Active

Practice location

2709 Pontiac Lake Rd Fl 1
Waterford, MI 48328-2653

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Psychologist	103T00000X	None listed
Counseling Psychologist	103TC1900X	None listed
Internal Medicine Physician Primary	207R00000X	None listed
Psychiatry Physician	2084P0800X	None listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1194673889

Great Lakes Clinical Group, P.c's National Provider Identifier is 1194673889, issued on Mar 18, 2026. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Waterford, MI. The record was last updated on Mar 18, 2026.