MEDICARE: GREAT LAKES OBGYN SPECIALIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363A00000X	Physician Assistant
2	363L00000X	Nurse Practitioner
3	367A00000X	Advanced Practice Midwife
4	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1225348741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT LAKES OBGYN SPECIALIST

Provider Business Mailing Address
First Line	:	PO BOX 1847
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49443-1847
Country	:	US
Telephone Number	:	231-727-4444
Fax Number	:	231-727-4451

Provider Business Practice Location Address
First Line	:	1775 WELLS AVE
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49442-2459
Country	:	US
Telephone Number	:	231-773-9048
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR NETWORK FINANCIAL SERVICES
Name	:	MICHELLE LOHMAN
Credential	:
Telephone Number	:	231-727-4499

Provider Enumeration Date	:	10/18/2010
Last Update Date	:	10/18/2010

Similar Medicare Providers

1255334397 — WILLARD PETER DEBRABER D.O.
Practice Location Address:

1761 WELLS AVE
MUSKEGON, MI
49442-2459

Practice Phone: 231-773-3228
Practice Fax: 231-773-3482

1013912237 — DR. MARK T KARNES DO
Practice Location Address:

1775 WELLS AVE
MUSKEGON, MI
49442-2459

Practice Phone: 231-773-9048
Practice Fax: 231-777-1218

1366478026 — GREAT LAKES OBSTETRIC GYNECOLOGICAL SPECIALISTS PLC
Practice Location Address:

1775 WELLS AVE
MUSKEGON, MI
49442-2459

Practice Phone: 231-773-9048
Practice Fax: 231-777-1218

1356663413 — WILLARD P DEBRABER DO PC
Practice Location Address:

1761 WELLS AVE
MUSKEGON, MI
49442-2459

Practice Phone: 231-773-3228
Practice Fax: 231-773-3482

1184161960 — MUSKEGON PREGNANCY SERVICES
Practice Location Address:

1775 WELLS AVE
MUSKEGON, MI
49442-2459

Practice Phone: 231-726-2677
Practice Fax:

1003698671 — ARDENA FRANCINE DUREN POSTPARTUM DOULA
Practice Location Address:

1624 JEFFERSON ST
MUSKEGON, MI
49441-2459

Practice Phone: 231-557-5383
Practice Fax: 231-563-6440

Directions to “GREAT LAKES OBGYN SPECIALIST ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.