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Great Lakes Surgical Assistants, Pllc

Surgical Physician Assistant in Troy, MI · enumerated 2011 · authorized official Brandon Mackenzie, Owner, PA-C.

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

National Provider Identifier

1558653303

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Surgical Assistants, Pllc
Practice address 4550 Investment Dr Ste 100, Troy, MI, 48098
Phone (248) 265-4600
Enumeration date May 12, 2011
Last updated in NPPES Jul 21, 2011

Taxonomy & classification

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License D5298K (MI) Primary

Authorized official

Name Brandon Mackenzie
Title Owner, PA-C
Phone (586) 246-5125

Other identifiers

Identifier Type State Issuer
0N33470042 Other MI MEDICARE ID-TYPE UNSPECIFIED

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

Who is the authorized official for Great Lakes Surgical Assistants, Pllc?
NPPES lists Brandon Mackenzie (Owner, PA-C) as the authorized official for this organization.
What is the NPI number for Great Lakes Surgical Assistants, Pllc?
The NPI for Great Lakes Surgical Assistants, Pllc is 1558653303, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-21.