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

Great Lakes Brain Spine Surgery and Pain Center PLLC

Organization Neurological Surgery Physician · NPI 1780056630

Great Lakes Brain Spine Surgery and Pain Center PLLC provides Neurological Surgery Physician services in Flint, Michigan. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3380 Beecher Rd Ste A
Flint, MI 48532-4853
Phone: (810) 720-2900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1780056630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivekanand Palavali — Doctor · (810) 820-6311
NPI enumeratedOctober 30, 2015
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing address3380 Beecher Road, Ste A, Flint, MI 48532-4737

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