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

Great Lakes Physicians of Southfield, PLLC

Organization General Practice Physician · NPI 1295939296

Great Lakes Physicians of Southfield, PLLC is a General Practice Physician in Southfield, Michigan. Registered with an NPI since 2007.

In the registry since
2007
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

23999 Northwestern Hwy Ste 110
Southfield, MI 48075-2578
Phone: (248) 223-1500
Fax: (248) 223-9600
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1295939296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Petre — Owner · (248) 223-1500
NPI enumeratedJune 13, 2007
Last updated in NPPESMay 29, 2009
Mailing address23999 Northwestern Hwy, Suite 110, Southfield, MI 48075-2578

Other providers in Southfield