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

Green Lake Medical Supply, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1740401017

Green Lake Medical Supply, Inc is a Durable Medical Equipment & Medical Supplies in Grosse Pointe Farms, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

93 Kercheval Ave
Grosse Pointe Farms, MI 48236-3600
Phone: (313) 882-3900
Fax: (313) 882-3947
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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 (MI)

Record details

NPI number1740401017
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Moorhead — President · (313) 882-3900
NPI enumeratedMay 2, 2007
Last updated in NPPESJuly 21, 2022
Mailing address18530 Mack Ave Ste 411, Grosse Pointe Farms, MI 48236-3254

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