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

Great Lakes Podiatry Associates PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1316393309

Great Lakes Podiatry Associates PLLC is a Foot & Ankle Surgery Podiatrist in Waterford, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
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

3560 Pontiac Lake Rd
Waterford, MI 48328-2337
Phone: (248) 674-2575
Fax: (248) 674-0577
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 5901000581 (MI)

Record details

NPI number1316393309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheldon Goldstein — President · (248) 674-2575
NPI enumeratedMay 9, 2016
Last updated in NPPESMay 9, 2016
Mailing address3560 Pontiac Lake Rd, Waterford, MI 48328-2337

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