GREAT LAKES CLINICAL GROUP, P.C
NPI 1194673889
Internal Medicine in Waterford, MI

Active since March 18, 2026
2709 PONTIAC LAKE RD FL 1, WATERFORD, MI 48328(313) 758-6857 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Clinical Group, P.c NPPES

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

GREAT LAKES CLINICAL GROUP, P.C (NPI 1194673889) is a healthcare organization registered as an internal medicine in Waterford, Michigan and active in the NPI registry since March 2026. The organization lists Jonathan Snipes, Owner, as its authorized official.

NPPES Registry Identity

NPI1194673889
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGREAT LAKES CLINICAL GROUP, P.C
Location Address2709 PONTIAC LAKE RD FL 1Waterford, MI 48328-2653
Mailing Address2709 Pontiac Lake Rd Fl 1Waterford, MI 48328-2653 · (313) 758-6857
Organization SubpartNo
Authorized OfficialJonathan SnipesOwner · (213) 827-3038
Enumeration DateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
NPI 1194673889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
2709 PONTIAC LAKE RD FL 1, Waterford, MI 48328

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Clinical Group, P.C's NPI number?

The NPI number for Great Lakes Clinical Group, P.C is 1194673889. It was assigned to this organization in the NPPES registry on March 18, 2026.

Where is Great Lakes Clinical Group, P.C located?

Great Lakes Clinical Group, P.C is located at 2709 Pontiac Lake Rd Fl 1, Waterford, MI 48328. The listed phone number is (313) 758-6857.

What is Great Lakes Clinical Group, P.C's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Clinical Group, P.C was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.