Great Lakes Neurosurgical Associates, Pc
Durable Medical Equipment & Medical Supplies
3350 Eagle Park Dr Ne Ste 102, Grand Rapids
Michigan, 49525-4570
616-454-3465 616-454-9004
Great Lakes Neurosurgical Associates, Pc is a Durable Medical Equipment & Medical Supplies in Grand Rapids, Michigan. It is located at 3350 Eagle Park Dr Ne Ste 102, Grand Rapids and it's customer support contact number is 616-454-3465. The authorized person of Great Lakes Neurosurgical Associates, Pc is Lisa Santos who is Executive Director of this DME and his contact number is 616-242-7042.
Great Lakes Neurosurgical Associates, Pc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Great Lakes Neurosurgical Associates, Pc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Great Lakes Neurosurgical Associates, Pc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 3350 Eagle Park Dr Ne Ste 102, Grand Rapids,
Michigan, 49525-4570 |
| Phone: | 616-454-3465 |
| Fax: | 616-454-9004 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Lisa Santos |
| Position: | Executive Director |
| Contact Number: | 616-242-7042 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1306366810 |
| NPI Enumeration Date: | 26 Jun, 2017 |
| NPI Last Update On: | 24 Feb, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great Lakes Neurosurgical Associates, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1366590929 | Medicaid | Michigan | |
| 0D11057 | Other | Michigan | Blue Cross And Blue Shield Of Michigan |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3350 Eagle Park Dr Ne Ste 102,
Grand Rapids, Michigan |
| Zip: | 49525-4570 |
| Phone Number: | 616-454-3465 |
| Fax Number: | 616-454-9004 |
Patients can reach Great Lakes Neurosurgical Associates, Pc at
3350 Eagle Park Dr Ne Ste 102, Grand Rapids, Michigan or can
call on customer care at 616-454-3465.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.