Great Lakes Physiatrists PC
Great Lakes Physiatrists PC is a Pain Medicine (Anesthesiology) Physician in St Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
25311 Little Mack Ave Ste BSt Clair Shores, MI 48081
Phone: (586) 498-2400
Fax: (586) 498-2800
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 4301045967 (MI) |
|---|---|
| Pain Medicine (Anesthesiology) Physician | Taxonomy 207LP2900X |
| Interventional Pain Medicine Physician | Taxonomy 208VP0014X |
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1811096548 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Frank Pollina — President · (586) 498-2400 |
| NPI enumerated | September 21, 2006 |
| Last updated in NPPES | September 14, 2020 |
| Certification date | September 14, 2020 |
| Mailing address | 8301 Reliable Pkwy, Chicago, IL 60686-0083 |