OrganizationActive
Great Lakes Cardiothoracic & Vascular Surgery PLLC
NPI 1346283116 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Petoskey, MI
Provider details
- NPI number
- 1346283116
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brad Vazales, President(231) 487-9090
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2390 Mitchell Park Dr
Suite B
Petoskey, MI 49770-8965
Phone: (231) 487-9090
Fax: (231) 487-9191
Approximate (ZIP-level) locationGet directions
Mailing address
2390 Mitchell Park Dr
Petoskey, MI 49770-8965
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2009-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.