GREAT LAKES PHYSICIANS OF SOUTHFIELD,PLLC is a general practice in Southfield, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee GREAT LAKES PHYSICIANS OF SOUTHFIELD,PLLC NPI is 1295939296. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
23999 NORTHWESTERN HWY
SUITE 110
SOUTHFIELD, MI
ZIP 48075-578
Phone: (248) 223-1500
Fax: (248) 223-9600
The provider's authorized official is Paul M Petre .
The authorized official title is Owner and has the following contact phone number (248) 223-1500.
The enumeration date for this NPI number is 6/13/2007 and was last updated on 5/29/2009.