Great Lakes Pediatric Gi Clinic PLLC
Great Lakes Pediatric Gi Clinic PLLC provides Pediatric Gastroenterology Physician services in Bingham Farms, Michigan. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
31000 Telegraph Rd Ste 100Bingham Farms, MI 48025-4321
Phone: (248) 854-5309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Gastroenterology Physician (primary) | Taxonomy 2080P0206X |
|---|
Record details
| NPI number | 1023758257 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jamal Kriem — Owner/Authorized Official · (248) 854-5309 |
| NPI enumerated | March 29, 2022 |
| Last updated in NPPES | March 29, 2022 |
| Certification date | March 29, 2022 |
| Mailing address | 31000 Telegraph Rd Ste 100, Bingham Farms, MI 48025-4321 |