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GREAT LAKES PAIN & REHAB PC NPI 1326314972


NPI Information

NPI: 1326314972
Provider Name: GREAT LAKES PAIN & REHAB, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
G3237 BEECHER RD
SUITE B
FLINT, MI
ZIP 48532
Phone: (810) 733-0600
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GREAT LAKES PAIN & REHAB, PC is a family medicine in Flint, MI. The provider is 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. GREAT LAKES PAIN & REHAB, PC NPI is 1326314972. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

G3237 BEECHER RD
SUITE B
FLINT, MI
ZIP 48532-695
Phone: (810) 733-0600

The provider's authorized official is Todd Sussman .
The authorized official title is Worker and has the following contact phone number (810) 733-0600.

The enumeration date for this NPI number is 3/28/2012 and was last updated on 4/2/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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