Organization
ST. CLAIR CARDIOVASCULAR SURGEONS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C. DOUGLAS LEES M.D. (TRUSTEE)
(586) 772-6000
Entity
Organization
Contact information
Practice address
1117 STONE ST, SUITE 1, PORT HURON, MI 48060-3525
(810) 987-3558
(810) 987-7557
Mailing address
25599 KELLY RD, SUITE A., ROSEVILLE, MI 48066-4975
(586) 772-6000
(586) 772-7700
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301047134
MI
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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