Great Lakes Vein Center

LBN: Great Lakes Cardiovascular Thoracic Surgery, Plc
Great Lakes Vein Center is an health care organization with primary practice located at 7901 S 12Th St Suite 201, Portage MI 49024-3831. 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 Cardiovascular Thoracic Surgery, Plc can be contacted via phone (269) 372-8687, or through Mack, George Joseph via phone (269) 372-8687.

Contact Information

Primary practice address
7901 S 12Th St Suite 201 Portage MI 49024-3831
Phone: (269) 372-8687
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mack, George Joseph Doctor of Osteopathy (DO)
Phone: (269) 372-8687

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 5101009076 Michigan

Profile Details

NPI number 1487760427
LBN Legal business name Great Lakes Cardiovascular Thoracic Surgery, Plc
DBA Doing business as Great Lakes Vein Center
Authorized official Mack, George Joseph Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Nov 13th, 2007 - about 18 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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