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

Great Lakes Sports Medicine and Concussion Clinic

Organization Specialist · NPI 1720441728

Great Lakes Sports Medicine and Concussion Clinic provides Specialist services in Saint Joseph, Michigan. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

3906 Stonegate Park Ste A
Saint Joseph, MI 49085-9145 Not confirmed with CMS for 10 years — call before visiting
Phone: (269) 408-1644
Fax: (269) 428-0019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1720441728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Trigger — Owner · (269) 408-1644
NPI enumeratedMarch 29, 2016
Last updated in NPPESMarch 29, 2016
Mailing address3906 Stonegate Park Ste A, Saint Joseph, MI 49085-9145

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