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Organization
UNIVERSITY CARDIAC & THORACIC SURGICAL GROUP, INC.
Active
Organization
UNIVERSITY CARDIAC & THORACIC SURGICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL W VANHEECKEREN MD (DEPARTMENT CHAIRMAN)
(216) 844-3053
Entity
Organization
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-5770
Mailing address
5910 LANDERBROOK DR, SUITE 250, MAYFIELD HTS, OH 44124-6508
(440) 684-5979
(440) 449-1555
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2054806
—
OH
01
—
CN7867
RAILROAD MEDICARE
OH
Enumeration date
07/09/2006
Last updated
08/22/2020
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