Great Lakes Cardiothoracic & Vascular Surgery Pllc

LBN: Great Lakes Cardiothoracic & Vascular Surgery Pllc
Great Lakes Cardiothoracic & Vascular Surgery Pllc is an health care organization with primary practice located at 2390 Mitchell Park Dr Suite B, Petoskey MI 49770-8965. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Great Lakes Cardiothoracic & Vascular Surgery Pllc can be contacted via phone (231) 487-9090, or through Vazales, Brad E. via phone (231) 487-9090.

Contact Information

Primary practice address
2390 Mitchell Park Dr Suite B Petoskey MI 49770-8965
Fax: (231) 487-9191
Website:
Authorized official contact:
Name: Vazales, Brad E. Doctor of Medicine (MD)

Health care specialties

Profile Details

NPI number 1346283116
LBN Legal business name Great Lakes Cardiothoracic & Vascular Surgery Pllc
DBA Doing business as
Authorized official Vazales, Brad E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Oct 20th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346283116 NPPES
Michigan Other 780001998 RR MEDICARE

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