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Organization

GREATER MICHIGAN CARDIOVASCULAR SURGEONS PLC

Active
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Organization

GREATER MICHIGAN CARDIOVASCULAR SURGEONS PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE C WASHINGTON MD (MANAGING AGENT OWNER)
(313) 436-2422
Entity
Organization

Contact information

Practice address
18181 OAKWOOD BLVD, SUITE 400, DEARBORN, MI 48124-5032
(313) 436-2422
(313) 441-2488
Mailing address
18181 OAKWOOD BLVD, SUITE 400, DEARBORN, MI 48124-5032
(313) 436-2422
(313) 441-2488

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—

Other

Enumeration date
05/01/2006
Last updated
08/22/2020
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