Great Lakes Cardiovascular Thoracic Surgery, Plc in Portage - Thoracic Surgery (cardiothoracic Vascular Surgery)
Great Lakes Cardiovascular Thoracic Surgery, Plc - NPI 1487760427
Great Lakes Cardiovascular Thoracic Surgery, Plc is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Portage, Michigan. Great Lakes Cardiovascular Thoracic Surgery, Plc practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Great Lakes Cardiovascular Thoracic Surgery, Plc is 1487760427. The last update date is 2007-11-13.
Great Lakes Cardiovascular Thoracic Surgery, Plc's current location address is 7901 S 12th St, Portage, Michigan. You can contact this provider via phone number 2693728687. The mailing address for Great Lakes Cardiovascular Thoracic Surgery, Plc is 7901 S 12th St, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Cardiovascular Thoracic Surgery, Plc |
|---|---|
| Address | 7901 S 12th St, Portage, Michigan |
| Phone Number | 2693728687 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mack Joseph George |
| Credentials | D.O. |
| Telephone Number | 2693728687 |
NPI Number Detail
| NPI Number | 1487760427 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2007-11-13 |
Provider Mailing Address Detail
| Address | 7901 S 12th St |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490243831 |
| Phone Number | 2693728687 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 5101009076 |
|
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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Post Comment/ Review Below
What is the unique identifier code issued to Great Lakes Cardiovascular Thoracic Surgery, Plc by the Centers for Medicare & Medicaid Services (CMS)?
The Great Lakes Cardiovascular Thoracic Surgery, Plc has been assigned the NPI (National Provider Identifier) 1487760427. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Great Lakes Cardiovascular Thoracic Surgery, Plc is physically located?
The Great Lakes Cardiovascular Thoracic Surgery, Plc is situated at the following address: 7901 S 12Th St, Portage, MI 490243831.
What is Great Lakes Cardiovascular Thoracic Surgery, Plc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Great Lakes Cardiovascular Thoracic Surgery, Plc is Thoracic Surgery (cardiothoracic Vascular Surgery), and the taxonomy classification code that categorizes this area of expertise is 208G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487760427 to Great Lakes Cardiovascular Thoracic Surgery, Plc?
The Centers for Medicare & Medicaid Services originally issued the 1487760427 to Great Lakes Cardiovascular Thoracic Surgery, Plc on 2006-08-22.
When was the information related to Great Lakes Cardiovascular Thoracic Surgery, Plc most recently updated or refreshed?
The details pertaining to the Great Lakes Cardiovascular Thoracic Surgery, Plc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-13.
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