Great Lakes Consultant Group LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GREAT LAKES CONSULTANT GROUP LLC

Practice address

225 E Woodworth St
Suite #813
Bad Axe, MI 48413

Phone

(989) 375-3022

NPI assigned

Jun 15, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steve Cueli

Title

Manager

Phone

(989) 375-3022

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1245960848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 WILDER RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062239",
            "telephone_number": "989-375-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E WOODWORTH ST",
            "address_2": "SUITE #813",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "48413",
            "telephone_number": "989-375-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES CONSULTANT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "CUELI",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "989-375-3022"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigha Grannell
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers
• Gregory a. Atkins
• Lisa Grifka, LMSW
• Shelly J Grifka, LMSW
• Grace Guibord
• Tiffanie Guigar

• Durable Medical Equipment & Medical Supplies in Bad Axe, MI
• Providers in Bad Axe, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.