GREAT LAKES CARDIOLOGY P.C. NPI 1487683504

NPI Information

NPI: 1487683504
Provider Name: GREAT LAKES CARDIOLOGY, P.C.
Classification: Internal Medicine - 207RC0000X
Specialization: Cardiovascular Disease
Entity Type: Organization
Address: 1221 6TH ST
SUITE 204
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-5750

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NPI Details

GREAT LAKES CARDIOLOGY, P.C. is a cardiovascular disease internal medicine in Traverse City, MI. The provider is 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. GREAT LAKES CARDIOLOGY, P.C. NPI is 1487683504. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1221 6TH ST
SUITE 204
TRAVERSE CITY, MI
ZIP 49684-359
Phone: (231) 935-5750
Fax: (231) 935-5759

The provider's authorized official is Cindy Goepfrich .
The authorized official title is Biller and has the following contact phone number (231) 935-5758.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 8/22/2020.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	4301055166	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	060B86046	OTHER	MICHIGAN	BLUE SHIELD MI GROUP PROV

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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