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

Great Lakes Medical Specialists PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1245587633

Great Lakes Medical Specialists PLLC is a Physical Medicine & Rehabilitation Physician in Grosse Pointe, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
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

20870 Mack Ave
Grosse Pointe, MI 48236
Phone: (517) 980-2826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X (MI)

Record details

NPI number1245587633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Oney — Ceo · (517) 980-2826
NPI enumeratedAugust 6, 2012
Last updated in NPPESFebruary 4, 2016
Mailing address20870 Mack Avenue, Grosse Pointe, MI 48236

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