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

Great Lakes Neuromonitoring, PLLC

Organization Electrodiagnostic Medicine Physician · NPI 1457866873

Great Lakes Neuromonitoring, PLLC is an Electrodiagnostic Medicine Physician in Waterford, Michigan. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5119 Highland Rd (M-59) #389
Waterford, MI 48327-1915
Phone: (248) 309-6631
Show map & directions

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

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X
Electrodiagnostic Medicine Physician Taxonomy 204R00000X
Neurology Physician Taxonomy 2084N0400X
Electroneurodiagnostic Specialist/Technologist Taxonomy 246ZE0600X

Record details

NPI number1457866873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lizette Morin — Mdms Npi Compliance Officer · (210) 598-2801
NPI enumeratedDecember 7, 2017
Last updated in NPPESDecember 7, 2017
Mailing address5119 Highland Rd, M-59) #389, Waterford, MI 48327-1915