# CARDIAC SURGERY INSTITUTE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cardiac and Thoracic Surgery Institute PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518076637
- **Authorized official:** KRISTIJAN GEORGE MINANOV MD (CEO, PRESIDENT)
- **Authorized official phone:** (586) 493-9229

## Contact information

- **Practice address:** 1030 HARRINGTON ST STE 203, MOUNT CLEMENS, MI 48043
- **Practice address phone:** (586) 493-9229
- **Mailing address:** 1030 HARRINGTON ST STE 203, MOUNT CLEMENS, MI 48043-2967
- **Mailing address phone:** (586) 493-9229
- **Mailing address fax:** (586) 493-4396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 01/25/2022