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Great Lakes Neurosurgical Associates, PC

Neurological Surgery Physician in Grand Rapids, MI · enumerated 2007 · authorized official Lisa Santos, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366590929

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Neurosurgical Associates, PC
Practice address 3350 Eagle Park Dr Ne Ste 102, Grand Rapids, MI, 49525
Phone (616) 454-3465
Enumeration date Jan 8, 2007
Last updated in NPPES Oct 24, 2023

Taxonomy & classification

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians · License LH029420 (MI) Primary

Authorized official

Name Lisa Santos
Title Executive Director
Phone (616) 242-7042

Other identifiers

Identifier Type State Issuer
1245311059 Other MI NPI
1326144049 Other MI NPI
1497836282 Other MI NPI
1659452472 Other MI NPI
1225119027 Other MI NPI
1770664583 Other MI NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-10-24. Verify at npiregistry.cms.hhs.gov.
Where is Great Lakes Neurosurgical Associates, PC located?
The practice location on file with NPPES is in Grand Rapids, MI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-24.