GREAT LAKES GYNECOLOGY & AESTHETICS INC, PC
NPI 1366589996
Obstetrics & Gynecology - Gynecology in Escanaba, MI

Active since January 31, 2007
126 S 25TH ST, SUITE B, ESCANABA, MI 49829(906) 233-9500(906) 233-9925 Get Directions Write a Review

NPPES record last updated: September 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Gynecology & Aesthetics Inc, Pc NPPES

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

GREAT LAKES GYNECOLOGY & AESTHETICS INC, PC (NPI 1366589996) is a healthcare organization registered as a gynecology in Escanaba, Michigan and active in the NPI registry since January 2007. The organization lists David Luis Hamacher, Physician-surgeon, as its authorized official.

NPPES Registry Identity

NPI1366589996
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameGREAT LAKES GYNECOLOGY & AESTHETICS INC, PC
Location Address126 S 25TH ST, SUITE BEscanaba, MI 49829-1364
Mailing Address126 South 25th Street, Suite BEscanaba, MI 49829 · (906) 233-9500 · Fax (906) 233-9925
Fax(906) 233-9925
Organization SubpartNo
Authorized OfficialDavid Luis HamacherPhysician-surgeon · (906) 233-9500
Enumeration DateJanuary 31, 2007
Last NPPES UpdateSeptember 28, 2009
NPI 1366589996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in MI · 207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
126 S 25TH ST, Escanaba, MI 49829

Other Identifiers 3

Medicare UPINF42051MI
Medicaid4662541MI
Medicare ID-Type UnspecifiedP02830001MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
126 S 25TH ST
ESCANABA, MI 49829
Podiatrist
126 S 25TH ST, SUITE A
ESCANABA, MI 49829
Obstetrics & Gynecology (Gynecology)
126 S 25TH ST, SUITE B
ESCANABA, MI 49829
Podiatrist (Foot & Ankle Surgery)
126 S 25TH ST, SUITE A
ESCANABA, MI 49829

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 Gynecology & Aesthetics Inc, PC's NPI number?

The NPI number for Great Lakes Gynecology & Aesthetics Inc, PC is 1366589996. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Great Lakes Gynecology & Aesthetics Inc, PC located?

Great Lakes Gynecology & Aesthetics Inc, PC is located at 126 S 25th St Suite B, Escanaba, MI 49829. The listed phone number is (906) 233-9500.

What is Great Lakes Gynecology & Aesthetics Inc, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Great Lakes Gynecology & Aesthetics Inc, PC was last updated on September 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.