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GREAT LAKES HEALTHCARE, PLLC
NPI 1881855328
Family Medicine in Peck, MI

Active since June 18, 2008
251 E PECK RD, PECK, MI 48466(810) 378-4900(810) 378-4905 Get Directions Write a Review

NPPES record last updated: November 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Healthcare, Pllc NPPES

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

GREAT LAKES HEALTHCARE, PLLC (NPI 1881855328) is a healthcare organization registered as a family medicine in Peck, Michigan and active in the NPI registry since June 2008. The organization lists Kenneth Eugene Dambacher, Owner, as its authorized official.

NPPES Registry Identity

NPI1881855328
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREAT LAKES HEALTHCARE, PLLC
Location Address251 E PECK RDPeck, MI 48466-9589
Mailing AddressPo Box 129Yale, MI 48097-0129 · (810) 378-4900 · Fax (810) 378-4905
Phone(810) 378-4900
Fax(810) 378-4905
Organization SubpartNo
Authorized OfficialKenneth Eugene DambacherOwner · (810) 378-4900
Enumeration DateJune 18, 2008
Last NPPES UpdateNovember 10, 2009
✔ NPI 1881855328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101008768
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.
251 E PECK RD, Peck, MI 48466
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Other Identifiers 6

Medicaid114469926MI
Medicare PIN5741038MI
Medicare UPINE26231MI
Medicare PINON91670MI
Other08-0G61059-0MI · Blue Cross Blue Shield Of Michigan
Other5670042MI · Blue Cross Blue Shield Of Michigan

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 5

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

STEPHANIE A HEBBERD FNP-BC
Nurse Practitioner (Family)
251 E PECK RD
PECK, MI 48466
Sanilac County (810) 378-4900
DR. KENNETH EUGENE DAMBACHER D.O.
Family Medicine
251 E PECK RD
PECK, MI 48466
Sanilac County (810) 378-4900
MCKENZIE MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
251 E PECK RD
PECK, MI 48466
Sanilac County (810) 378-4900
BRADLEY COPLIN DO
Internal Medicine
251 E PECK RD
PECK, MI 48466
Sanilac County (810) 378-4900
KRISTIN MARIE DUBAY
Nurse Practitioner (Primary Care)
251 E PECK RD
PECK, MI 48466
Sanilac County (810) 378-4900

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 Healthcare, PLLC's NPI number?

The NPI number for Great Lakes Healthcare, PLLC is 1881855328. It was assigned to this organization in the NPPES registry on June 18, 2008.

Where is Great Lakes Healthcare, PLLC located?

Great Lakes Healthcare, PLLC is located at 251 E Peck Rd, Peck, MI 48466. The listed phone number is (810) 378-4900.

What is Great Lakes Healthcare, 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 Healthcare, PLLC was last updated on November 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.