# GREAT LAKES INTERNAL MEDICINE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235311382
- **Authorized official:** DR. HERBERT F MILLER M.D. (PRESIDENT)
- **Authorized official phone:** (231) 739-6000

## Contact information

- **Practice address:** 427 SEMINOLE RD, SUITE 100, MUSKEGON, MI 49444-3747
- **Practice address phone:** (231) 739-6000
- **Practice address fax:** (231) 739-6004
- **Mailing address:** 427 SEMINOLE RD, SUITE 100, MUSKEGON, MI 49444-3747
- **Mailing address phone:** (231) 739-6000
- **Mailing address fax:** (231) 739-6004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 11/30/2007