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

Great Lakes Family Medical Center PLLC

Organization Family Medicine Physician · NPI 1598737769

Great Lakes Family Medical Center PLLC provides Family Medicine Physician services in Detroit, Michigan. Registered with an NPI since 2006.

In the registry since
2006
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

4420 E Davison St
Detroit, MI 48212-1744
Phone: (313) 369-1500
Fax: (313) 369-1205
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1598737769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Arunima Shirvastava — Owner · (734) 266-2780
NPI enumeratedFebruary 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address28801 Plymouth Rd, Livonia, MI 48150-2385

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