GREAT LAKES FAMILY MEDICAL CENTER PLLC
NPI 1598737769
Family Medicine in Detroit, MI

Active since February 02, 2006
4420 E DAVISON ST, DETROIT, MI 48212(313) 369-1500(313) 369-1205 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Lakes Family Medical Center Pllc NPPES

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

GREAT LAKES FAMILY MEDICAL CENTER PLLC (NPI 1598737769) is a healthcare organization registered as a family medicine in Detroit, Michigan and active in the NPI registry since February 2006. The organization lists Arunima Shirvastava, Owner, as its authorized official.

NPPES Registry Identity

NPI1598737769
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREAT LAKES FAMILY MEDICAL CENTER PLLC
Location Address4420 E DAVISON STDetroit, MI 48212-1744
Mailing Address28801 Plymouth RdLivonia, MI 48150-2385 · (734) 266-2780 · Fax (734) 466-9615
Fax(313) 369-1205
Organization SubpartNo
Authorized OfficialArunima ShirvastavaOwner · (734) 266-2780
Enumeration DateFebruary 2, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1598737769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4420 E DAVISON ST, Detroit, MI 48212

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

Other Providers at the Same Location NPPES 16

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

Family Medicine
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Physician Assistant
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Family Medicine
4420 E DAVISON ST
DETROIT, MI 48212
Nurse Practitioner (Family)
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Pharmacy (Community/Retail Pharmacy)
4420 E DAVISON ST
DETROIT, MI 48212
Family Medicine
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Family Medicine
4420 E DAVISON ST
DETROIT, MI 48212
Pharmacist
4420 E DAVISON ST
DETROIT, MI 48212

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 Family Medical Center PLLC's NPI number?

The NPI number for Great Lakes Family Medical Center PLLC is 1598737769. It was assigned to this organization in the NPPES registry on February 2, 2006.

Where is Great Lakes Family Medical Center PLLC located?

Great Lakes Family Medical Center PLLC is located at 4420 E Davison St, Detroit, MI 48212. The listed phone number is (313) 369-1500.

What is Great Lakes Family Medical Center PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Family Medical Center PLLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.