# CARDIOTHORACIC SURGEONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093838633
- **Authorized official:** MS. SHARONE K NORMAN (OFFICE MGR)
- **Authorized official phone:** (231) 935-5730

## Contact information

- **Practice address:** 1221 6TH ST, SUITE 202, TRAVERSE CITY, MI 49684-2359
- **Practice address phone:** (231) 935-5730
- **Mailing address:** 1221 6TH ST, SUITE 202, TRAVERSE CITY, MI 49684-2359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704123270 | MI | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 08/22/2020