Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Great Lakes Brain and Spine Institute PC

Organization Specialist · NPI 1952512766

Great Lakes Brain and Spine Institute PC provides Specialist services in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 E Michigan Ave Ste 109
Jackson, MI 49201-2457 Not confirmed with CMS for 19 years — call before visiting
Phone: (517) 782-0500
Fax: (517) 782-1713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (MI)

Record details

NPI number1952512766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Harish Rawal — President · (517) 782-0500
NPI enumeratedMay 24, 2007
Last updated in NPPESAugust 13, 2007
Mailing address900 E Michigan Ave, Suite 109, Jackson, MI 49201-2457

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