Great Lakes Home Doctors PC
NPI 1679705354 · General Practice Physician · Walled Lake, MI
Great Lakes Home Doctors PC is a General Practice Physician organization in Walled Lake, MI (NPI 1679705354).
Provider details
- NPI number
- 1679705354
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Aundrey Lutskovsky, Owner(313) 978-2343
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Patient Care Clinic
Registry dates
- Enumerated
- 2009-08-14
- Last updated
- 2011-04-15
Frequently asked questions
- What is Great Lakes Home Doctors PC's NPI number?
- Great Lakes Home Doctors PC's National Provider Identifier (NPI) is 1679705354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Home Doctors PC?
- Great Lakes Home Doctors PC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Home Doctors PC located?
- Great Lakes Home Doctors PC's practice location on file with NPPES is 1160 Villa Ct N, Walled Lake, MI 48390-3376.
- What is Great Lakes Home Doctors PC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Home Doctors PC is (313) 978-2343.
- Who is the authorized official for Great Lakes Home Doctors PC?
- The authorized official listed on Great Lakes Home Doctors PC's NPPES record is Aundrey Lutskovsky, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Home Doctors PC's NPI active?
- Yes — Great Lakes Home Doctors PC's NPI (1679705354) is active in the NPPES registry as of the last update on 2011-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.