Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Five Lakes Medical Group PLLC

Organization Family Medicine Physician · NPI 1770409849

Five Lakes Medical Group PLLC is a Family Medicine Physician in Hamtramck, Michigan. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11333 Joseph Campau St
Hamtramck, MI 48212-3038
Phone: (313) 463-0653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1770409849
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramzy Aiyash — Physician · (313) 463-0653
NPI enumeratedJune 24, 2026
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address800 Indianwood Rd, Lake Orion, MI 48362-1320

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