GREAT LAKES OBGYN SPECIALIST NPI 1225348741

NPI Information

  • NPI: 1225348741
  • Provider Name: GREAT LAKES OBGYN SPECIALIST
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 1775 WELLS AVE
    MUSKEGON, MI
    ZIP 49442
  • Phone: (231) 773-9048

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NPI Details

GREAT LAKES OBGYN SPECIALIST is an obstetrics gynecology in Muskegon, MI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GREAT LAKES OBGYN SPECIALIST NPI is 1225348741. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1775 WELLS AVE
MUSKEGON, MI
ZIP 49442-459
Phone: (231) 773-9048

The provider's authorized official is Michelle Lohman .
The authorized official title is Director Network Financial Services and has the following contact phone number (231) 727-4499.

The enumeration date for this NPI number is 10/18/2010 and was last updated on 10/18/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3367A00000XAdvanced Practice MidwifeNo
4207V00000XObstetrics & GynecologyYes

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: 11/21/2025

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