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

Great Lakes Home Doctors PC

Organization General Practice Physician · NPI 1679705354

Great Lakes Home Doctors PC is a General Practice Physician in Walled Lake, Michigan. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1160 Villa Ct N
Walled Lake, MI 48390-3376
Phone: (313) 978-2343
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1679705354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aundrey Lutskovsky — Owner · (313) 978-2343
Other names Patient Care Clinic
NPI enumeratedAugust 14, 2009
Last updated in NPPESApril 15, 2011
Mailing address1160 Villa Ct N, Walled Lake, MI 48390-3376

Other providers in Walled Lake