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

Great Lakes Healthcare, PLLC

Organization Family Medicine Physician · NPI 1881855328

Great Lakes Healthcare, PLLC provides Family Medicine Physician services in Peck, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
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

251 E Peck Rd
Peck, MI 48466-9589 Not confirmed with CMS for 16 years — call before visiting
Phone: (810) 378-4900
Fax: (810) 378-4905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101008768 (MI)

Record details

NPI number1881855328
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Dambacher — Owner · (810) 378-4900
NPI enumeratedJune 18, 2008
Last updated in NPPESNovember 10, 2009
Mailing addressPo Box 129, Yale, MI 48097-0129

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