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

Lakes OBGYN Specialist

Organization Obstetrics & Gynecology Physician · NPI 1548570062

Lakes OBGYN Specialist is an Obstetrics & Gynecology Physician in Norton Shores, Michigan. Works from 2 locations. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
4

Practice location Address checks out

6401 Prairie St Ste 1700
Norton Shores, MI 49444-7843
Phone: (231) 672-7939
Show map & directions

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

Additional practice locations (1)

  • 6401 Prairie St Ste 2100, Norton Shores, MI 49444-7842 — (231) 672-7939

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1548570062
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMercy Health Partners
Authorized official Michael Gusho — Chief Financial Office · (734) 398-0642
Other names Trinity Health Medical Group Obstetrics & Gynecology - Lake Village
NPI enumeratedOctober 18, 2010
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing addressPo Box 776982, Chicago, IL 60677-6982

Other providers in Norton Shores