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

Michigan Pediatric Cardiovascular Surgeons PC

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1619922176

Michigan Pediatric Cardiovascular Surgeons PC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Detroit, Michigan. Registered with an NPI since 2006.

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

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Practice location Address checks out

3901 Beaubien Blvd
Detroit, MI 48201-2119
Phone: (313) 745-5538
Fax: (313) 993-0531
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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

Record details

NPI number1619922176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Walters — President · (313) 745-5538
NPI enumeratedMay 23, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 441097, Detroit, MI 48244-1097

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