# GREAT LAKES INTEGRATED HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Lakes Integrated Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467270140
- **Authorized official:** DR. MATTHEW SORTLAND PHARMD (BUSINESS DEVELOPMENT MANAGER)
- **Authorized official phone:** (269) 267-7590

## Contact information

- **Practice address:** 954 BUSINESS PARK DR STE 2, TRAVERSE CITY, MI 49686-8763
- **Practice address phone:** (231) 535-4403
- **Practice address fax:** (347) 851-1383
- **Mailing address:** PO BOX 2067, GAYLORD, MI 49734-6067
- **Mailing address phone:** (269) 267-7590

## Taxonomy

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

## Other

- **Enumeration date:** 10/01/2024
- **Last updated:** 01/02/2025