Great Lakes Clinical Group, P.c
Internal Medicine · Waterford, MI
At a glance
2709 Pontiac Lake Rd Fl 1, Waterford, MI 48328-2653
NPPES record updated Mar 18, 2026. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
2709 Pontiac Lake Rd Fl 1Waterford, MI 48328-2653
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Internal Medicine
- Taxonomy code
- 207R00000X
- Enumeration date
- Mar 18, 2026
- Record updated
- Mar 18, 2026
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Mental Health Counselor
101YM0800X
Psychologist
103T00000X
Specialty details in registry
103TC1900X
Internal Medicine
207R00000X · Primary
Psychiatry
2084P0800X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2709 Pontiac Lake Rd Fl 1Waterford, MI 48328-2653
- Phone
- (313) 758-6857
Mailing address
2709 PONTIAC LAKE RD FL 1WATERFORD, MI 483282653
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