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

Great Lakes Medicine, PLC

Organization Internal Medicine Physician · NPI 1740210517

Great Lakes Medicine, PLC is an Internal Medicine Physician in Shelby Township, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2
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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

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 208M00000X (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 207R00000X (MI)

Record details

NPI number1740210517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prashant Patel — Partner · (586) 731-8400
NPI enumeratedJuly 4, 2006
Last updated in NPPESNovember 5, 2012
Mailing address1746 Momentum Pl, Chicago, IL 60689-5317

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