Provider Demographics
NPI:1043643638
Name:MICHIGAN CENTER FOR HEART VALVE SURGERY PC
Entity Type:Organization
Organization Name:MICHIGAN CENTER FOR HEART VALVE SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARCIDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-720-7167
Mailing Address - Street 1:1386 S LINDEN RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-4185
Mailing Address - Country:US
Mailing Address - Phone:810-720-7167
Mailing Address - Fax:810-720-2358
Practice Address - Street 1:1386 S LINDEN RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-4185
Practice Address - Country:US
Practice Address - Phone:810-720-7167
Practice Address - Fax:810-720-2358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty