Organization · Type 2 NPI

Great Lakes Family Medical Center PLLC

Primary Care Clinic/Center · Detroit, MI

NPI number 1982881025 Active

Practice location

4420 E Davison St
Detroit, MI 48212-1744

Call (313) 369-1500 Map

Fax (313) 369-1205

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center 261QM1300XNone listed
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

16 other providers at this address

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About NPI 1982881025

Great Lakes Family Medical Center PLLC's National Provider Identifier is 1982881025, issued on Jan 30, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Detroit, MI. The record was last updated on Sep 4, 2013.