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

Great Lakes Neurosurgical Associates, PC

Organization Durable Medical Equipment & Medical Supplies · NPI 1306366810

Great Lakes Neurosurgical Associates, PC is a Durable Medical Equipment & Medical Supplies in Grand Rapids, Michigan. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3350 Eagle Park Dr NE Ste 102
Grand Rapids, MI 49525-4570
Phone: (616) 454-3465
Fax: (616) 454-9004
Show map & directions

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

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1306366810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Santos — Executive Director · (616) 242-7042
NPI enumeratedJune 26, 2017
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address3350 Eagle Park Dr Ne Ste 102, Grand Rapids, MI 49525-4570

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