Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Great Lakes Cardiothoracic & Vascular Surgery PLLC

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

Great Lakes Cardiothoracic & Vascular Surgery PLLC provides Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician services 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 Not confirmed with CMS for 16 years — call before visiting
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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