Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BLUE WATER THORACIC AND CARDIOVASCULAR SURGERY, PLC
Active
Organization
BLUE WATER THORACIC AND CARDIOVASCULAR SURGERY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON DENCKLAU DO (OWNER)
(810) 989-6113
Entity
Organization
Contact information
Practice address
1107 STONE ST, SUITE 1, PORT HURON, MI 48060-3569
(810) 989-6113
(810) 989-6117
Mailing address
1107 STONE ST, SUITE 1, PORT HURON, MI 48060-3569
(810) 989-6113
(810) 989-6117
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
5101007542
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
5101007542
MI
Other
Enumeration date
12/11/2007
Last updated
08/11/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers