BLUE WATER THORACIC AND CARDIOVASCULAR SURGERY PLC NPI 1336322528

NPI Details

BLUE WATER THORACIC AND CARDIOVASCULAR SURGERY, PLC is a thoracic surgery cardiothoracic vascular surgery in Port Huron, MI. The provider is 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 the airway and injuries of the chest is within the scope of the specialty. BLUE WATER THORACIC AND CARDIOVASCULAR SURGERY, PLC NPI is 1336322528. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1107 STONE ST
SUITE 1
PORT HURON, MI
ZIP 48060-569
Phone: (810) 989-6113
Fax: (810) 989-6117

The provider's authorized official is Vernon Dencklau .
The authorized official title is Owner and has the following contact phone number (810) 989-6113.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 8/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: