Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Great Lakes Heart & Vascular Institute, PC

Organization Cardiovascular Disease Physician · NPI 1205911047

Great Lakes Heart & Vascular Institute, PC is a Cardiovascular Disease Physician in Saint Joseph, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3950 Hollywood Rd Ste 110
Saint Joseph, MI 49085-9151
Phone: (269) 985-1000
Fax: (269) 983-1627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence TP054928 (MI)

Record details

NPI number1205911047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Pow — President · (269) 985-1000
NPI enumeratedOctober 26, 2006
Last updated in NPPESApril 15, 2015
Mailing address3950 Hollywood Rd, Suite 110, Saint Joseph, MI 49085-9151

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