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GREAT LAKES PHYSICIANS OF SOUTHFIELD, LLC
NPI 1710202825
Non-Pharmacy Dispensing Site in Southfield, MI

Active since March 31, 2010
23999 NORTHWESTERN HWY, SOUTHFIELD, MI 48075(248) 223-1500 Get Directions Write a Review

NPPES record last updated: March 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Great Lakes Physicians Of Southfield, Llc NPPES

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

GREAT LAKES PHYSICIANS OF SOUTHFIELD, LLC (NPI 1710202825) is a healthcare organization registered as a non-pharmacy dispensing site in Southfield, Michigan and active in the NPI registry since March 2010. The organization lists Paul Petre, Owner, as its authorized official.

NPPES Registry Identity

NPI1710202825
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameHOME CLINIC PC
Location Address23999 NORTHWESTERN HWYSouthfield, MI 48075-2578
Mailing Address2980 N Beverly Glen Cir, Ste 301Los Angeles, CA 90077-1726
Phone(248) 223-1500
Organization SubpartYes
Authorized OfficialPaul PetreOwner · (248) 223-1500
Enumeration DateMarch 31, 2010
Last NPPES UpdateMarch 7, 2011
✔ NPI 1710202825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
23999 NORTHWESTERN HWY, Southfield, MI 48075
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Other Names 1

Doing Business AsGreat Lakes Physicians Of Southfield, Llc

Other Identifiers 1

OtherMI1676Ptan

Other Providers at the Same Location NPPES 20

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

ARK HEALTH LLC
General Practice
23999 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 924-1429
ASHTIAQ KHOKHAR
Physical Therapist
23999 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 304-1100
BENEVOLENT HEALTH CARE CLINIC
Specialist
23999 NORTHWESTERN HWY, STE 114
SOUTHFIELD, MI 48075
Oakland County (248) 910-7972
MR. JAMES BENJIMAN BURDETTE III PA-C
Physician Assistant (Medical)
23999 NORTHWESTERN HWY, SUITE # 110
SOUTHFIELD, MI 48075
Oakland County (248) 223-1500
RACHEL KIMBERLY STABEL R.N.
Registered Nurse
23999 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 569-4778
GREAT LAKES PHYSICIANS OF SOUTHFIELD,PLLC
General Practice
23999 NORTHWESTERN HWY, SUITE 110
SOUTHFIELD, MI 48075
Oakland County (248) 223-1500
ADA HOMES, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
23999 NORTHWESTERN HWY, SUITE 200
SOUTHFIELD, MI 48075
Oakland County (248) 557-2544
NORTHWESTERN REHABILITATION SERVICES. LLC
Clinic/Center (Physical Therapy)
23999 NORTHWESTERN HWY, SUITE 105
SOUTHFIELD, MI 48075
Oakland County (248) 352-4984

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 Home Clinic PC's NPI number?

The NPI number for Home Clinic PC is 1710202825. It was assigned to this organization in the NPPES registry on March 31, 2010. The provider is doing business as Great Lakes Physicians Of Southfield, LLC.

Where is Home Clinic PC located?

Home Clinic PC is located at 23999 Northwestern Hwy, Southfield, MI 48075. The listed phone number is (248) 223-1500.

What is Home Clinic PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Home Clinic PC was last updated on March 7, 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.