Organization · Type 2 NPI
Great Lakes Radiology Services
Diagnostic Radiology Physician · Plymouth, MI
NPI number
1891529111
Active
Practice location
729 W Ann Arbor Trl Ste 2
Plymouth, MI 48170-6225
Other practice locations
- 4501 Bruce B Downs Blvd, Wesley Chapel, FL 33544-9216 · (813) 914-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1891529111
Great Lakes Radiology Services's National Provider Identifier is 1891529111, issued on Aug 28, 2024. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Plymouth, MI. The record was last updated on Oct 17, 2026.