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GREAT LAKES NEUROLOGY, PC
NPI 1811071798
Psychiatry & Neurology - Neurology in Petoskey, MI

Active since October 25, 2006
932 SPRING ST STE 102, PETOSKEY, MI 49770(231) 487-3970 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Neurology, Pc NPPES

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

GREAT LAKES NEUROLOGY, PC (NPI 1811071798) is a healthcare organization registered as a neurology in Petoskey, Michigan and active in the NPI registry since October 2006. The organization lists Steven Huder, President, as its authorized official.

NPPES Registry Identity

NPI1811071798
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameGREAT LAKES NEUROLOGY, PC
Location Address932 SPRING ST STE 102Petoskey, MI 49770-2286
Mailing Address932 Spring St Ste 102Petoskey, MI 49770-2855
Phone(231) 487-3970
Organization SubpartNo
Authorized OfficialSteven HuderPresident · (231) 487-3970
Enumeration DateOctober 25, 2006
Last NPPES UpdateFebruary 21, 2012
✔ NPI 1811071798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MI · SH067274
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
932 SPRING ST STE 102, Petoskey, MI 49770
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Other Identifiers 2

Medicare UPING00007MI
Medicaid3514160MI

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

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

LOGAN ALEXANDER WOOD DDS
Dentist (General Practice)
932 SPRING ST STE 102
PETOSKEY, MI 49770
Emmet County (231) 646-8005

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 Neurology, PC's NPI number?

The NPI number for Great Lakes Neurology, PC is 1811071798. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Great Lakes Neurology, PC located?

Great Lakes Neurology, PC is located at 932 Spring St Ste 102, Petoskey, MI 49770. The listed phone number is (231) 487-3970.

What is Great Lakes Neurology, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Great Lakes Neurology, PC was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.