GREAT LAKES SPORTS MEDICINE AND CONCUSSION CLINIC
NPI 1720441728
Specialist in Saint Joseph, MI

Q: What is Great Lakes Sports Medicine And Concussion Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 29, 2016

3906 STONEGATE PARK STE A, SAINT JOSEPH, MI 49085(269) 408-1644(269) 428-0019 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Great Lakes Sports Medicine And Concussion Clinic NPPES

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

GREAT LAKES SPORTS MEDICINE AND CONCUSSION CLINIC (NPI 1720441728) is a healthcare organization registered as a specialist in Saint Joseph, Michigan and active in the NPI registry since March 2016. The organization lists Christopher Trigger, Owner, as its authorized official.

NPPES Registry Identity

NPI1720441728

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameGREAT LAKES SPORTS MEDICINE AND CONCUSSION CLINIC

Location Address3906 STONEGATE PARK STE ASaint Joseph, MI 49085-9145

Mailing Address3906 Stonegate Park Ste ASaint Joseph, MI 49085-9145 · (269) 408-1644 · Fax (269) 428-0019

Phone(269) 408-1644

Fax(269) 428-0019

Organization SubpartNo

Authorized OfficialChristopher TriggerOwner · (269) 408-1644

Enumeration DateMarch 29, 2016

✔ NPI 1720441728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3906 STONEGATE PARK STE A, Saint Joseph, MI 49085

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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 Sports Medicine And Concussion Clinic's NPI number?

The NPI number for Great Lakes Sports Medicine And Concussion Clinic is 1720441728. It was assigned to this organization in the NPPES registry on March 29, 2016.

Where is Great Lakes Sports Medicine And Concussion Clinic located?

Great Lakes Sports Medicine And Concussion Clinic is located at 3906 Stonegate Park Ste A, Saint Joseph, MI 49085. The listed phone number is (269) 408-1644.

What is Great Lakes Sports Medicine And Concussion Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Sports Medicine And Concussion Clinic was last updated on March 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.