Great Lakes Physicians of Southfield,pllc
NPI 1295939296ActiveOrganization· General Practice· Southfield, MI
General Practice in Southfield, Michigan, registered in NPPES in June 2007. The authorized official on file is Paul M. Petre, MD, Owner.
Overview
| NPI | 1295939296 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2007 |
| Last updated in NPPES | May 29, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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