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

Great Lakes Provider Network, LLC

Organization Audiologist · NPI 1649710823

Great Lakes Provider Network, LLC is an Audiologist in Clinton Township, Michigan. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

33900 Harper Ave Ste A101
Clinton Township, MI 48035-4258
Phone: (586) 359-2649
Fax: (844) 522-5038
Show map & directions

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

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X

Record details

NPI number1649710823
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAudionet America Holdings Inc
Authorized official Colleen Shefferly — President · (586) 944-0043
NPI enumeratedMarch 7, 2017
Last updated in NPPESMarch 7, 2017
Mailing address33900 Harper Ave Ste A101, Clinton Township, MI 48035-4258

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