Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Cardiothoracic & Vascular Surgery PLLC

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1346283116

Great Lakes Cardiothoracic & Vascular Surgery PLLC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Petoskey, Michigan. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2390 Mitchell Park Dr Ste B
Petoskey, MI 49770-8965
Phone: (231) 487-9090
Fax: (231) 487-9191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X

Record details

NPI number1346283116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad Vazales — President · (231) 487-9090
NPI enumeratedJune 13, 2006
Last updated in NPPESOctober 20, 2009
Mailing address2390 Mitchell Park Dr, Suite B, Petoskey, MI 49770-8965

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