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

Great Lakes Pediatrics

Organization Pediatric Adolescent Medicine Physician · NPI 1417126715

Great Lakes Pediatrics is a Pediatric Adolescent Medicine Physician in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008

Practice location Address checks out

26000 Hoover Rd 103
Warren, MI 48089-1167
Phone: (586) 427-1351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 4301073962 (MI)

Record details

NPI number1417126715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sundus Rummani-Askar — President · (586) 427-1351
NPI enumeratedFebruary 21, 2008
Last updated in NPPESFebruary 21, 2008
Mailing address26000 Hoover Rd, 103, Warren, MI 48089-1167

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