Great Lakes Cardiothoracic & Vascular Surgery Pllc

NPI #1346283116 in Petoskey, Michigan

Provider Information

NPI Number
1346283116
Entity Type
Organization
Organization Name
Great Lakes Cardiothoracic & Vascular Surgery Pllc
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date
Jun 13, 2006
Last Updated
Oct 20, 2009

Practice Location

Address
2390 MITCHELL PARK DR
Address 2
SUITE B
ZIP Code
49770-8965
Phone
(231) 487-9090

Authorized Official

Name
DR. BRAD E. VAZALES, M.D.
Title
PRESIDENT
Phone
(231) 487-9090

Specialties & Taxonomy Codes

Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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