Organization
NORTHWEST MICHIGAN HEART & VASCULAR SPECIALISTS
Active
Organization
NORTHWEST MICHIGAN HEART & VASCULAR SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A LAUER MD (PHYSICIAN/OWNER)
(231) 935-0335
Entity
Organization
Contact information
Practice address
3529 W FRONT ST, SUITE B, TRAVERSE CITY, MI 49684-9689
(231) 935-0335
(231) 935-0336
Mailing address
2393 MOMENTUM PL, CHICAGO, IL 60689-0001
(231) 935-0335
(231) 935-0336
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301075408
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0281087
BLUE CARE NETWORK
MI
01
—
0602810871
BCBS OF MICH
MI
01
—
1245497858
CORP NPI
MI
05
—
1245497858
—
MI
01
—
1407890536
INDIVIDUAL NPI
MI
05
—
1407890536
—
MI
Enumeration date
05/21/2008
Last updated
08/14/2008
Update your record
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