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

Great Lakes Urogynecology PLC

Organization Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · NPI 1144111840

Great Lakes Urogynecology PLC is an Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Brownstown Twp, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

19249 Allen Rd Ste B
Brownstown Twp, MI 48183-1189
Phone: (248) 835-2797
Show map & directions

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

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X

Record details

NPI number1144111840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaclyn Baratono — Authorized Official · (734) 225-6859
NPI enumeratedJuly 10, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address19249 Allen Rd Ste B, Brownstown Twp, MI 48183-1189