Great Lakes Cardiovascular Thoracic Surgery, Plc

NPI 1487760427 - Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X

NPI Details
NPI 1487760427
Enumeration Date 08/22/2006
Last Updated 11/13/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GEORGE JOSEPH GEORGE
Position PRESIDENT
Phone (269) 372-8687
Fax
Practice Location
7901 S 12TH ST
SUITE 201
PORTAGE MI, 49024-3831, US
Phone (269) 372-8687
Fax
Business Location
7901 S 12TH ST
SUITE 201
PORTAGE MI, 49024-3831, US
Phone (269) 372-8687
Fax
Toxanomy
Taxonomy Code 208G00000X
License State Michigan
License Number 5101009076
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According to our database, Great Lakes Cardiovascular Thoracic Surgery, Plc NPI is 1487760427, taxonomy code is 208G00000X and license number is 5101009076, license state is located at Michigan. Great Lakes Cardiovascular Thoracic Surgery, Plc physically located at 7901 S 12th St, Portage MI, 49024-3831. NPI Number 1033115704 has the healthcare provider type.

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1487760427 NPI number is provided on an as is basis without warranty of any kind. 1487760427 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes Cardiovascular Thoracic Surgery, Plc are for informational purposes only.