ACV TRAVERSE CITY PLLC NPI 1245916709

NPI Information

  • NPI: 1245916709
  • Provider Name: ACV TRAVERSE CITY PLLC
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Organization
  • :
  • CLIA Number: 23D2289909
  • Address: 3865 W FRONT ST STE 4-5
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 252-0414

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NPI Details

ACV TRAVERSE CITY PLLC is an interventional cardiology internal medicine in Traverse City, MI. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. ACV TRAVERSE CITY PLLC NPI is 1245916709. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

3865 W FRONT ST STE 4-5
TRAVERSE CITY, MI
ZIP 49684-101
Phone: (231) 252-0414
Fax: (231) 252-0416

The provider's authorized official is Roberto Corpus .
The authorized official title is Authorized Official and has the following contact phone number (231) 342-5088.

The CLIA number assigned to this NPI record is 23D2289909 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/27/2023 and was last updated on 9/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RI0011XInternal MedicineInterventional CardiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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