Great Lakes Medical Associates, PC

NPI #1811094295 in Edmore, Michigan

Provider Information

NPI Number: 1811094295
Entity Type: Organization
Organization Name: Great Lakes Medical Associates, PC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 20, 2006
Last Updated: Sep 28, 2023

Practice Location

Address: 1021 E. MAIN STREET
City: Edmore
State: Michigan
ZIP Code: 48829
Phone: (989) 427-5320

Authorized Official

Name: PRAKASH SARVEPALLI, M.D.
Title: PRESIDENT
Phone: (989) 427-5320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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