Organization · Type 2 NPI

Great Lakes Heart & Vascular Institute, P.c.

Cardiovascular Disease Physician · St. Joseph, MI

NPI number 1205911047 Active

Practice location

3950 Hollywood Rd, Suite 110
St. Joseph, MI 49085-9151

Call (269) 985-1000 Map

Fax (269) 983-1627

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XTP054928 (MI)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1205911047

Great Lakes Heart & Vascular Institute, P.c.'s National Provider Identifier is 1205911047, issued on Oct 26, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in St. Joseph, MI. The record was last updated on Apr 15, 2015.