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

Great Lakes Medical Center PLLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1588986996

Great Lakes Medical Center PLLC is a Geriatric Medicine (Internal Medicine) Physician in Bay City, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010
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

2110 16th St Ste 4
Bay City, MI 48708
Phone: (989) 891-9000
Fax: (989) 891-9876
Show map & directions

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

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence TA066513 (MI)

Record details

NPI number1588986996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tazeen Ahmed — Owner · (989) 891-9000
NPI enumeratedFebruary 26, 2010
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021
Mailing addressPo Box 725, Standish, MI 48658-0725

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