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

Great Lakes Spine Sports & Pain, PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1780691808

Great Lakes Spine Sports & Pain, PLLC is a Physical Medicine & Rehabilitation Physician in Mt Pleasant, Michigan. Registered with an NPI since 2006.

In the registry since
2006
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

4676 E Broomfield Rd Ste A
Mt Pleasant, MI 48858-9192
Phone: (989) 772-3800
Fax: (840) 626-4066
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1780691808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bachu Abraham — President · (989) 772-3800
NPI enumeratedAugust 2, 2006
Last updated in NPPESOctober 3, 2007
Mailing addressPo Box 87, Cadillac, MI 49601-0087