Justin Shayne Fanning in Grand Rapids - Thoracic Surgery (cardiothoracic Vascular Surgery)
Justin Shayne Fanning - NPI 1700908522
Justin Shayne Fanning is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Grand Rapids, Michigan. Justin Shayne Fanning practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Justin Shayne Fanning is 1700908522. The last update date is 2022-03-14.
Justin Shayne Fanning's current location address is 221 Michigan St Ne Ste 300, Grand Rapids, Michigan. You can contact this provider via phone number 6164597258 and fax number 6164595215. The mailing address for Justin Shayne Fanning is 221 Michigan St Ne Ste 300, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Shayne Fanning |
|---|---|
| Address | 221 Michigan St Ne Ste 300, Grand Rapids, Michigan |
| Phone Number | 6164597258 |
| Fax Number | 6164595215 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700908522 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2022-03-14 |
Provider Mailing Address Detail
| Address | 221 Michigan St Ne Ste 300 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032537 |
| Phone Number | 6164597258 |
| Fax Number | 6164595215 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 4301074884 |
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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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What is the unique 10-digit identifier code issued to Justin Shayne Fanning by the Centers for Medicare & Medicaid Services?
The Justin Shayne Fanning has been assigned the NPI (National Provider Identifier) 1700908522 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Justin Shayne Fanning located?
The Justin Shayne Fanning is located at 221 Michigan St Ne Ste 300, Grand Rapids, MI 495032537.
What is Justin Shayne Fanning's area of expertise and its corresponding taxonomy classification?
The Justin Shayne Fanning's field of specialization is Thoracic Surgery (cardiothoracic Vascular Surgery), and it falls under the taxonomy code 208G00000X, which categorizes healthcare providers based on their areas of practice.
When did Justin Shayne Fanning receive its 1700908522 assignment?
The Justin Shayne Fanning was assigned its 1700908522 on 2007-04-04, which is the date when this unique identifier was issued to the organization.
When was the information regarding Justin Shayne Fanning, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Justin Shayne Fanning, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-03-14.
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