Organization · Type 2 NPI

Great Lakes Cardiovascular & Thoracic Surgeons

Specialist · Dearborn, MI

NPI number 1114055662 Active

Practice location

17000 Hubbard Dr, Suite 100
Dearborn, MI 48126-4258

Call (313) 441-1441 Map

Fax (313) 441-2071

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1114055662

Great Lakes Cardiovascular & Thoracic Surgeons's National Provider Identifier is 1114055662, issued on Feb 28, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dearborn, MI. The record was last updated on Aug 22, 2020.