Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Great Lakes Heart & Vascular Institute, PC

Organization Cardiovascular Disease Physician · NPI 1205911047

Great Lakes Heart & Vascular Institute, PC provides Cardiovascular Disease Physician services 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 Not confirmed with CMS for 11 years — call before visiting
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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