Organization
MICHIGAN CARDIOVASCULAR INSTITUTE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HARDIMON MBA (CEO)
(989) 754-3000
Entity
Organization
Contact information
Practice address
1015 S WASHINGTON AVE, SAGINAW, MI 48601-2556
(989) 754-3000
(989) 755-1365
Mailing address
1015 S WASHINGTON AVE, SAGINAW, MI 48601-2556
(989) 754-3000
(989) 755-1365
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G30010
BX NP GROUP
MI
01
—
700G360400
BX MD GROUP
MI
Enumeration date
01/17/2006
Last updated
02/18/2010
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