Organization
ADVANCED CENTER FOR CARDIOTHORACIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PATRICK KELLY M.D. (PRESIDENT)
(574) 647-6500
Entity
Organization
Contact information
Practice address
707 N MICHIGAN ST, 503, SOUTH BEND, IN 46601-1067
(574) 647-6500
(574) 647-6518
Mailing address
707 N MICHIGAN ST, 503, SOUTH BEND, IN 46601-1067
(574) 647-6500
(574) 647-6518
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
01034778A
IN
Other
Enumeration date
01/11/2012
Last updated
01/20/2012
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