Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GREAT LAKES HOME DOCTORS PC
Active
Organization
GREAT LAKES HOME DOCTORS PC
Active
Other names
Patient Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUNDREY LUTSKOVSKY D.O. (OWNER)
(313) 978-2343
Entity
Organization
Contact information
Practice address
1160 VILLA CT N, WALLED LAKE, MI 48390-3376
(313) 978-2343
Mailing address
1160 VILLA CT N, WALLED LAKE, MI 48390-3376
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/14/2009
Last updated
04/15/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers