# GREAT LAKES INTERNIST PC

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

## Provider details

- **NPI number:** 1962555227
- **Authorized official:** DR. MOUHAMAD F RIHAWI MD (PRESIDENT)
- **Authorized official phone:** (586) 727-7209

## Contact information

- **Practice address:** 35000 DIVISION RD, SUITE 9, RICHMOND, MI 48062-1566
- **Practice address phone:** (586) 228-8606
- **Mailing address:** 35000 DIVISION RD, SUITE 9, RICHMOND, MI 48062-1566
- **Mailing address phone:** (586) 727-7209
- **Mailing address fax:** (586) 727-7929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301065345 | MI | Yes |
| 261QP2300X | Primary Care Clinic/Center | 4301065345 | MI | — |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 07/02/2013