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PATIENT CARE CLINIC
NPI 1679705354
General Practice in Walled Lake, MI

Active since August 14, 2009
1160 VILLA CT N, WALLED LAKE, MI 48390(313) 978-2343 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Patient Care Clinic NPPES

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

PATIENT CARE CLINIC (NPI 1679705354) is a healthcare organization registered as a general practice in Walled Lake, Michigan and active in the NPI registry since August 2009. The organization lists Aundrey Lutskovsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1679705354
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGREAT LAKES HOME DOCTORS PC
Location Address1160 VILLA CT NWalled Lake, MI 48390-3376
Mailing Address1160 Villa Ct NWalled Lake, MI 48390-3376
Phone(313) 978-2343
Organization SubpartNo
Authorized OfficialAundrey LutskovskyOwner · (313) 978-2343
Enumeration DateAugust 14, 2009
Last NPPES UpdateApril 15, 2011
✔ NPI 1679705354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1160 VILLA CT N, Walled Lake, MI 48390
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Other Names 1

Doing Business AsPatient Care Clinic

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 Home Doctors PC's NPI number?

The NPI number for Great Lakes Home Doctors PC is 1679705354. It was assigned to this organization in the NPPES registry on August 14, 2009. The provider is doing business as Patient Care Clinic.

Where is Great Lakes Home Doctors PC located?

Great Lakes Home Doctors PC is located at 1160 Villa Ct N, Walled Lake, MI 48390. The listed phone number is (313) 978-2343.

What is Great Lakes Home Doctors PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Home Doctors PC was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.