Great Lakes Medicine, Plc

LBN: Great Lakes Medicine, Plc
Great Lakes Medicine, Plc is an health care organization with primary practice located at 50505 Schoenherr Rd Ste 340, Shelby Township MI 48315-3140. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty. Great Lakes Medicine, Plc can be contacted via phone (586) 731-8400, or through Patel, Prashant S via phone (586) 731-8400.

Contact Information

Primary practice address
50505 Schoenherr Rd Ste 340 Shelby Township MI 48315-3140
Phone: (586) 731-8400
Fax: (586) 731-8406
Website:
Map and Directions
Authorized official contact:
Name: Patel, Prashant S Doctor of Medicine (MD)
Phone: (586) 731-8400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 207R00000X Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 208M00000X Michigan

Profile Details

NPI number 1740210517
LBN Legal business name Great Lakes Medicine, Plc
DBA Doing business as
Authorized official Patel, Prashant S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Nov 5th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740210517 NPPES
Michigan Other DE1755 RR MEDICARE
Michigan Other 0E03034 RR MEDICARE

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