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

Great Lakes Cardiology, PC

Organization Cardiovascular Disease Physician · NPI 1487683504

Great Lakes Cardiology, PC provides Cardiovascular Disease Physician services in Traverse City, 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

1221 6th St Ste 204
Traverse City, MI 49684-2359
Phone: (231) 935-5750
Fax: (231) 935-5759
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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 4301055166 (MI)

Record details

NPI number1487683504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Goepfrich — Biller · (231) 935-5758
NPI enumeratedJuly 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1221 6th St, Suite 204, Traverse City, MI 49684-2359

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