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

Great Lakes Gastroenterology PLLC

Organization Gastroenterology Physician · NPI 1780691899

Great Lakes Gastroenterology PLLC provides Gastroenterology Physician services in Saint Joseph, Michigan. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3903 Hollywood Rd
Saint Joseph, MI 49085-9149
Phone: (269) 408-1100
Fax: (269) 408-1329
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1780691899
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Jones — Medical Doctor/Partner · (269) 408-1100
NPI enumeratedAugust 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3903 Hollywood Rd, Saint Joseph, MI 49085-9149

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