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

Great Lakes Geriatrics PLC

Organization Internal Medicine Physician · NPI 1265797583

Great Lakes Geriatrics PLC is an Internal Medicine Physician in Shelby Township, Michigan. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

50505 Schoenherr Rd Ste 340
Shelby Township, MI 48315-3140
Phone: (586) 731-8400
Fax: (586) 731-8406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1265797583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seth Parker — President · (586) 731-8400
NPI enumeratedJuly 12, 2012
Last updated in NPPESJuly 16, 2012
Mailing address50505 Schoenherr Rd, Suite 340, Shelby Township, MI 48315-3140

Other providers in Shelby Township