Organization
VANDERBILT UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PETRACEK MD (CHAIRMAN OF CARDIAC SURGERY)
(615) 343-7363
Entity
Organization
Contact information
Practice address
1161 21ST AVE S, MCN AA1218, NASHVILLE, TN 37232-0011
(615) 343-1465
Mailing address
610 MCFERRIN AVE, NASHVILLE, TN 37206-3522
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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