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

Great Lakes Physicians of Southfield, PLLC

Organization General Practice Physician · NPI 1295939296

Great Lakes Physicians of Southfield, PLLC provides General Practice Physician services in Southfield, Michigan. Registered with an NPI since 2007.

In the registry since
2007
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

23999 Northwestern Hwy Ste 110
Southfield, MI 48075-2578 Not confirmed with CMS for 17 years — call before visiting
Phone: (248) 223-1500
Fax: (248) 223-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1295939296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Petre — Owner · (248) 223-1500
NPI enumeratedJune 13, 2007
Last updated in NPPESMay 29, 2009
Mailing address23999 Northwestern Hwy, Suite 110, Southfield, MI 48075-2578

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