Blue Water Thoracic and Cardiovascular Surgery, PLC
Blue Water Thoracic and Cardiovascular Surgery, PLC is a Vascular Surgery Physician in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2007.
- Licensed in
- MI
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1107 Stone St Ste 1Port Huron, MI 48060-3569
Phone: (810) 989-6113
Fax: (810) 989-6117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) | Taxonomy 208G00000X · Licence 5101007542 (MI) |
|---|---|
| Vascular Surgery Physician | Taxonomy 2086S0129X · Licence 5101007542 (MI) |
Record details
| NPI number | 1336322528 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vernon Dencklau — Owner · (810) 989-6113 |
| NPI enumerated | December 11, 2007 |
| Last updated in NPPES | August 11, 2008 |
| Mailing address | 1107 Stone St, Suite 1, Port Huron, MI 48060-3569 |
Other providers in Port Huron
-
Great Lakes Vascular Clinic PC
2603 Electric Ave Ste C, Port Huron, MI 48060-6588 · (810) 984-8470
-
Dr. Syed S Hossain, MD
2603 Electric Ave Ste A, Port Huron, MI 48060-6588 · (810) 985-1300
-
Dr. Sadiq Hussain, MD
2603 Electric Ave Ste C, Port Huron, MI 48060-6588 · (810) 985-1300
-
David H Schulman, DO
1210 10th Ave, Port Huron, MI 48060-3406 · (810) 984-8470