Organization
MICHIGAN HEART & VASCULAR SPECIALISTS, PC
Active
Organization
MICHIGAN HEART & VASCULAR SPECIALISTS, PC
Active
Other names
Petoskey Cardiology, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA A. NOBLETT BSN, MBA (PRACTICE ADMINISTRATOR)
(231) 487-9807
Entity
Organization
Contact information
Practice address
560 W MITCHELL ST, SUITE 400, PETOSKEY, MI 49770-2275
(231) 487-2490
(231) 487-6055
Mailing address
560 W MITCHELL ST, SUITE 400, PETOSKEY, MI 49770-2275
(231) 487-2490
(231) 487-6055
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G05370
BLUE CARE NETWORK
MI
01
—
OB41013
BLUE SHIELD
MI
Enumeration date
07/22/2006
Last updated
09/13/2007
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