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

Great Lakes Regenerative Medicine, PLLC

Organization Clinic/Center · NPI 1033758305

Great Lakes Regenerative Medicine, PLLC is a Clinic/Center in Auburn Hills, Michigan. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2251 N Squirrel Rd Ste 206
Auburn Hills, MI 48326-4602
Phone: (248) 829-0385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1033758305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Basak — Clinic Director · (248) 829-0385
NPI enumeratedJanuary 3, 2020
Last updated in NPPESFebruary 27, 2020
Certification dateFebruary 27, 2020
Mailing address148 Golf Crest Dr, Acworth, GA 30101-5968

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