# THORACIC SURGERY INSTITUTE OF SOUTHWEST MICHIGAN PLC

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

## Provider details

- **NPI number:** 1669791083
- **Authorized official:** DR. TAMMY L GLEESON D.O. (MEMBER)
- **Authorized official phone:** (269) 441-0444

## Contact information

- **Practice address:** 2845 CAPITAL AVE SW, SUITE 115, BATTLE CREEK, MI 49015-4185
- **Practice address phone:** (269) 441-0444
- **Practice address fax:** (269) 441-0440
- **Mailing address:** 2845 CAPITAL AVE SW, SUITE 115, BATTLE CREEK, MI 49015-4185
- **Mailing address phone:** (269) 441-0444
- **Mailing address fax:** (269) 441-0440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | TG013146 | MI | Yes |

## Other

- **Enumeration date:** 05/25/2010
- **Last updated:** 10/14/2010