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

Great Lakes Family Medical Center PLLC

Organization Family Medicine Physician · NPI 1598737769

Great Lakes Family Medical Center PLLC is a Family Medicine Physician in Detroit, Michigan. Registered with an NPI since 2006.

In the registry since
2006
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

4420 E Davison St
Detroit, MI 48212-1744
Phone: (313) 369-1500
Fax: (313) 369-1205
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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 number1598737769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Arunima Shirvastava — Owner · (734) 266-2780
NPI enumeratedFebruary 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address28801 Plymouth Rd, Livonia, MI 48150-2385

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