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GREAT LAKES INTERNAL MEDICINE PC NPI 1235311382


NPI Information

NPI: 1235311382
Provider Name: GREAT LAKES INTERNAL MEDICINE, PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
427 SEMINOLE RD
SUITE 100
MUSKEGON, MI
ZIP 49444
Phone: (231) 739-6000
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GREAT LAKES INTERNAL MEDICINE, PC is an internal medicine in Muskegon, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. GREAT LAKES INTERNAL MEDICINE, PC NPI is 1235311382. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

427 SEMINOLE RD
SUITE 100
MUSKEGON, MI
ZIP 49444-747
Phone: (231) 739-6000
Fax: (231) 739-6004

The provider's authorized official is Herbert F Miller .
The authorized official title is President and has the following contact phone number (231) 739-6000.

The enumeration date for this NPI number is 11/30/2007 and was last updated on 11/30/2007.


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
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ON12120MEDICARE PINMICHIGAN

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: 5/5/2024

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