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

Great Lakes Pediatric Cardiology, PLLC

Organization Pediatric Cardiology Physician · NPI 1295500825

Great Lakes Pediatric Cardiology, PLLC is a Pediatric Cardiology Physician in Sterling Heights, Michigan. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

43200 Dequindre Rd Ste 105
Sterling Heights, MI 48314-1707
Phone: (248) 780-9490
Fax: (248) 282-0851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X

Record details

NPI number1295500825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ismael Gonzalez Rangel — Pediatric Cardiologist · (361) 228-5103
Other names Great Lakes Pediatric Cardiology
NPI enumeratedNovember 27, 2023
Last updated in NPPESNovember 27, 2023
Certification dateMay 11, 2023
Mailing address43200 Dequindre Rd Ste 105, Sterling Heights, MI 48314-1707

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