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
MICHIGAN PEDIATRIC CARDIOVASCULAR SURGEONS PC
Active
Organization
MICHIGAN PEDIATRIC CARDIOVASCULAR SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY LANE WALTERS III M.D. (PRESIDENT)
(313) 745-5538
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN BLVD, DETROIT, MI 48201-2119
(313) 745-5538
(313) 993-0531
Mailing address
PO BOX 441097, DETROIT, MI 48244-1097
(313) 745-5538
(313) 993-0531
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
Enumeration date
05/23/2006
Last updated
08/22/2020
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