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

Great Lakes Brain Spine Surgery and Pain Center PLLC

Organization Neurological Surgery Physician · NPI 1780056630

Great Lakes Brain Spine Surgery and Pain Center PLLC is a Neurological Surgery Physician in Flint, Michigan. Registered with an NPI since 2015.

In the registry since
2015
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

3380 Beecher Rd Ste A
Flint, MI 48532-4853
Phone: (810) 720-2900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1780056630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivekanand Palavali — Doctor · (810) 820-6311
NPI enumeratedOctober 30, 2015
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing address3380 Beecher Road, Ste A, Flint, MI 48532-4737

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