GREAT LAKES REGENERATIVE MEDICINE, PLLC
NPI 1033758305
Clinic/Center in Auburn Hills, MI

Q: What is Great Lakes Regenerative Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since January 03, 2020

2251 N SQUIRREL RD STE 206, AUBURN HILLS, MI 48326(248) 829-0385 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2020, Jan 6, 2020, Jan 3, 2020 (3 updates tracked since 2020).

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About Great Lakes Regenerative Medicine, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES REGENERATIVE MEDICINE, PLLC (NPI 1033758305) is a healthcare organization registered as a clinic/center in Auburn Hills, Michigan and active in the NPI registry since January 2020. The organization lists Robert J Basak, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1033758305

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameGREAT LAKES REGENERATIVE MEDICINE, PLLC

Location Address2251 N SQUIRREL RD STE 206Auburn Hills, MI 48326-4602

Mailing Address148 Golf Crest DrAcworth, GA 30101-5968 · (248) 829-0239 · Fax (678) 574-5605

Phone(248) 829-0385

Organization SubpartNo

Authorized OfficialRobert J BasakClinic Director · (248) 829-0385

Enumeration DateJanuary 3, 2020

Last NPPES UpdateFebruary 27, 20203 updates tracked since enumeration

✔ NPI 1033758305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2251 N SQUIRREL RD STE 206, Auburn Hills, MI 48326

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Regenerative Medicine, PLLC's NPI number?

The NPI number for Great Lakes Regenerative Medicine, PLLC is 1033758305. It was assigned to this organization in the NPPES registry on January 3, 2020.

Where is Great Lakes Regenerative Medicine, PLLC located?

Great Lakes Regenerative Medicine, PLLC is located at 2251 N Squirrel Rd Ste 206, Auburn Hills, MI 48326. The listed phone number is (248) 829-0385.

What is Great Lakes Regenerative Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Regenerative Medicine, PLLC was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.