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 provides Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician services 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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