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

Great Lakes Surgical Center Anesthesia, PLC

Organization Anesthesiology Physician · NPI 1053353847

Great Lakes Surgical Center Anesthesia, PLC is an Anesthesiology Physician in Southfield, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

26051 Lahser Rd
Southfield, MI 48034-2601
Phone: (248) 223-9945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1053353847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Kleinhomer — Authorized Representative · (248) 223-9945
NPI enumeratedJune 13, 2006
Last updated in NPPESSeptember 19, 2007
Mailing address255 W Michigan Ave, Jackson, MI 49201-2218

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