Individual
DR. LAWRENCE H PATZELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, SUITE 8830, GRAND RAPIDS, MI 49503-2560
(616) 459-7258
(616) 459-5215
Mailing address
100 MICHIGAN ST NE, MC 103, GRAND RAPIDS, MI 49503-2560
(616) 459-7258
(616) 459-5215
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
20503
CO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301045183
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101405139
—
MI
Enumeration date
02/06/2006
Last updated
01/28/2013
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