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

Great Lakes Spine and Medical PLLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1750080545

Great Lakes Spine and Medical PLLC is a Durable Medical Equipment & Medical Supplies in Holt, Michigan. Registered with an NPI since 2023.

In the registry since
2023
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

4573 Willoughby Rd Ste B
Holt, MI 48842-2188
Phone: (517) 699-2646
Fax: (517) 699-5434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1750080545
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Kelly — Owner · (989) 792-6702
NPI enumeratedMarch 1, 2023
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address4573 Willoughby Rd Ste B, Holt, MI 48842-2188

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