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

Great Lakes In-Home Clinician Services Inc

Organization Family Medicine Physician · NPI 1467696153

Great Lakes In-Home Clinician Services Inc is a Family Medicine Physician in Davison, Michigan. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

124 S State Rd
Davison, MI 48423-1347
Phone: (810) 664-7040
Fax: (810) 245-9080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Family Medicine Physician Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1467696153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kavita Suryavanshi — President · (810) 245-9400
Other names Elite Medical Services, Inc.
NPI enumeratedApril 24, 2009
Last updated in NPPESMay 21, 2010
Mailing address404 W Nepessing St, Lapeer, MI 48446-2150

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