GREAT LAKES FAMILY MEDICAL CENTER PLLC is a primary care clinic center in Detroit, MI. GREAT LAKES FAMILY MEDICAL CENTER PLLC NPI is 1982881025. The provider is registered as an organization entity type.
The provider's business location address is:
4420 E DAVISON ST
DETROIT, MI
ZIP 48212-744
Phone: (313) 369-1500
Fax: (313) 369-1205
The provider's authorized official is Amitabh Paharia .
The authorized official title is Owner and has the following contact phone number (313) 369-1500.
The enumeration date for this NPI number is 1/30/2008 and was last updated on 9/4/2013.