# GREATER MICHIGAN CARDIOVASCULAR SURGEONS PLC

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

## Provider details

- **NPI number:** 1891753950
- **Authorized official:** BRUCE C WASHINGTON MD (MANAGING AGENT OWNER)
- **Authorized official phone:** (313) 436-2422

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2006
- **Last updated:** 08/22/2020