in Grand Blanc - Thoracic Surgery (cardiothoracic Vascular Surgery)
- NPI 1932211398
is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Grand Blanc, Michigan. practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for is 1932211398. The last update date is .
's current location address is 2620 Genesys Pkwy, Grand Blanc, Michigan. You can contact this provider via phone number 8106066444 and fax number 8106066235. The mailing address for is 2620 Genesys Pkwy, Grand Blanc, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2620 Genesys Pkwy, Grand Blanc, Michigan |
| Phone Number | 8106066444 |
| Fax Number | 8106066235 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1932211398 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2620 Genesys Pkwy |
|---|---|
| City | Grand Blanc |
| State | Michigan (MI) |
| Post Code | 484397326 |
| Phone Number | 8106066444 |
| Fax Number | 8106066235 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 4301078878 |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4590139 | MI | -- |
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