Great Lakes Cardiology, P.C. in Traverse City - Cardiovascular Disease

Great Lakes Cardiology, P.C. - NPI 1487683504

Great Lakes Cardiology, P.C. is a Cardiovascular Disease in Traverse City, Michigan. Great Lakes Cardiology, P.C. practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Great Lakes Cardiology, P.C. is 1487683504. The last update date is 2020-08-22.

Great Lakes Cardiology, P.C.'s current location address is 1221 6th St, Traverse City, Michigan. You can contact this provider via phone number 2319355750 and fax number 2319355759. The mailing address for Great Lakes Cardiology, P.C. is 1221 6th St, Traverse City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Great Lakes Cardiology, P.C.
Address 1221 6th St, Traverse City, Michigan
Phone Number 2319355750
Fax Number 2319355759
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLER
Authorized Official Name Goepfrich Cindy
Telephone Number 2319355758

NPI Number Detail

NPI Number 1487683504
Provider Enumeration Date 2006-07-01
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1221 6th St
City Traverse City
State Michigan (MI)
Post Code 496842359
Phone Number 2319355750
Fax Number 2319355759

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 4301055166
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
060B86046 MI BLUE SHIELD MI GROUP PROV

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FAQs about Great Lakes Cardiology, P.C.

What is the unique identifier code issued to Great Lakes Cardiology, P.C. by the Centers for Medicare & Medicaid Services?

The Great Lakes Cardiology, P.C. has been assigned the NPI (National Provider Identifier) 1487683504. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Great Lakes Cardiology, P.C. is geographically located?

The Great Lakes Cardiology, P.C. is physically situated at the following location: 1221 6Th St, Traverse City, MI, 496842359.

What is Great Lakes Cardiology, P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Great Lakes Cardiology, P.C. is Cardiovascular Disease, and the taxonomy code that classifies this field of practice is 207Rc0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1487683504 to Great Lakes Cardiology, P.C.?

The Centers for Medicare & Medicaid Services assigned the 1487683504 to Great Lakes Cardiology, P.C. on 2006-07-01.

As of what date was the information regarding Great Lakes Cardiology, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Great Lakes Cardiology, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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