Organization · Type 2 NPI

Grand Rapids Thoracic Surgery, PLLC

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Grand Rapids, MI

NPI number 1336504760 Active

Practice location

4500 Cascade Rd SE, Suite 210
Grand Rapids, MI 49546-3665

Call (616) 259-7341 Map

Fax (616) 259-7642

Specialties and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000X4301104138 (MI)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: 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 of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1336504760

Grand Rapids Thoracic Surgery, PLLC's National Provider Identifier is 1336504760, issued on Dec 30, 2015. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 30, 2015.