Individual
DR. JOHN D TALBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
560 W MITCHELL ST STE 400, MHVS CARDIOVASCULAR & THORACIC SURGER, PETOSKEY, MI 49770-2274
(231) 487-4950
(231) 487-4951
Mailing address
416 CONNABLE, PETOSKEY, MI 49770
(231) 487-7129
(231) 487-3082
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
5101010171
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4853893
—
MI
01
—
533089
BCBS INDIVIDUAL PIN
MI
Enumeration date
09/21/2006
Last updated
01/23/2014
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