# CARDIOTHORACIC SURGERY SPECIALISTS PLLC

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

## Provider details

- **NPI number:** 1780464875
- **Authorized official:** MICHAEL LEE MD (MD)
- **Authorized official phone:** (248) 621-9777

## Contact information

- **Practice address:** 22250 PROVIDENCE DR STE 206, SOUTHFIELD, MI 48075-6210
- **Practice address phone:** (248) 621-9777
- **Mailing address:** 2392 LAKE ANGELUS LN, LAKE ANGELUS, MI 48326-1008

## 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:** 10/05/2023
- **Last updated:** 03/19/2025