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GREAT LAKES MEDICAL DEVICES
NPI 1184485963
Durable Medical Equipment & Medical Supplies in Davison, MI

Active since January 19, 2024
105 E 2ND ST UNIT H, DAVISON, MI 48423(810) 447-0135 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 18, 2025, Jun 17, 2024 (2 updates tracked since 2024).

About Great Lakes Medical Devices NPPES

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

GREAT LAKES MEDICAL DEVICES (NPI 1184485963) is a healthcare organization registered as a durable medical equipment & medical supplies in Davison, Michigan and active in the NPI registry since January 2024. The organization lists Derek Humphrey, Owner, as its authorized official.

NPPES Registry Identity

NPI1184485963
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGREAT LAKES MEDICAL DEVICES
Location Address105 E 2ND ST UNIT HDavison, MI 48423-1467
Mailing Address3196 S Irish RdDavison, MI 48423-2434 · (810) 701-6418
Phone(810) 447-0135
Organization SubpartNo
Authorized OfficialDerek HumphreyOwner · (810) 701-6418
Enumeration DateJanuary 19, 2024
Last NPPES UpdateAugust 27, 20252 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1184485963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
105 E 2ND ST UNIT H, Davison, MI 48423
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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 Medical Devices's NPI number?

The NPI number for Great Lakes Medical Devices is 1184485963. It was assigned to this organization in the NPPES registry on January 19, 2024.

Where is Great Lakes Medical Devices located?

Great Lakes Medical Devices is located at 105 E 2nd St Unit H, Davison, MI 48423. The listed phone number is (810) 447-0135.

What is Great Lakes Medical Devices's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Medical Devices was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.