GREAT LAKES CARDIOVASCULAR & THORACIC SURGEONS is a specialist in Dearborn, MI. The provider is 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. GREAT LAKES CARDIOVASCULAR & THORACIC SURGEONS NPI is 1114055662. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
17000 HUBBARD DR
SUITE 100
DEARBORN, MI
ZIP 48126-258
Phone: (313) 441-1441
Fax: (313) 441-2071
The provider's authorized official is Timothy L Sell .
The authorized official title is Equal Partner and has the following contact phone number (313) 441-1441.
The CLIA number assigned to this NPI record is 23D2028847 - independent with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/22/2020.