Great Lakes Pediatric Cardiology, Pllc
Pediatric Cardiology
Great Lakes Pediatric Cardiology, Pllc is a Birmingham, Michigan based Pediatric center with medical specialization in
Pediatric Cardiology. Great Lakes Pediatric Cardiology, Pllc is doing business as
Great Lakes Pediatric Cardiology.
It is located at
1972 Pembroke Rd, Birmingham, Michigan - 48009-7502. They can be contacted on phone at
361-228-5103.
NPI number (Unique professional ID) for Great Lakes Pediatric Cardiology, Pllc is
1972293967 which was assigned by NPPES on 11 May, 2023 and it was last updated on 11 May, 2023.
Great Lakes Pediatric Cardiology, Pllc provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Great Lakes Pediatric Cardiology, Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Cardiology |
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| Provider Name : | Great Lakes Pediatric Cardiology, Pllc |
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| Other Name : | Great Lakes Pediatric Cardiology |
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Business Address:
Great Lakes Pediatric Cardiology, Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1972 Pembroke Rd
Birmingham, MI, 48009-7502
United States |
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| Phone Number : | 361-228-5103 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1972293967 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 11 May, 2023 |
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| Last Updated On : | 11 May, 2023 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Ismael Gonzalez Rangel |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | Pediatric Cardiologist |
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| Phone Number : | 3612285103 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great Lakes Pediatric Cardiology, Pllc are as mentioned. Primary taxonomy code for Great Lakes Pediatric Cardiology, Pllc is
2080P0202X (Pediatrics, Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0202X | Pediatrics, Pediatric Cardiology | Yes | | - |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 43200 Dequindre Rd Ste 105
Sterling Heights, MI, 48314-1707
United States |
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| Phone Number : | 248-780-9490 |
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Business Location:
Patients can refer following map for directions to
Great Lakes Pediatric Cardiology, Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.