Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Digestive Health Assc PC

Organization Gastroenterology Physician · NPI 1285822387

Great Lakes Digestive Health Assc PC provides Gastroenterology Physician services in Petoskey, 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

560 W Mitchell St Ste M40
Petoskey, MI 49770-2278 Not confirmed with CMS for 14 years — call before visiting
Phone: (231) 487-2391
Fax: (231) 487-6513
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 4301091670 (MI)

Record details

NPI number1285822387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Stoner — Administrator · (231) 487-2391
NPI enumeratedOctober 15, 2007
Last updated in NPPESDecember 20, 2011
Mailing address560 W Mitchell St, Ste M40, Petoskey, MI 49770-2278

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