Organization · Type 2 NPI

Great Lakes Cardiovascular Thoracic Surgery, PLC

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Portage, MI

NPI number 1487760427 Active

Practice location

7901 S 12th St, Suite 201
Portage, MI 49024-3831

Call (269) 372-8687 Map

Specialties and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000X5101009076 (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 1487760427

Great Lakes Cardiovascular Thoracic Surgery, PLC's National Provider Identifier is 1487760427, issued on Aug 22, 2006. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Portage, MI. The record was last updated on Nov 13, 2007.