Blue Water Thoracic and Cardiovascular Surgery, PLC
Blue Water Thoracic and Cardiovascular Surgery, PLC provides Vascular Surgery Physician services 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 Not confirmed with CMS for 18 years — call before visiting
Phone: (810) 989-6113
Fax: (810) 989-6117
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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