Provider Demographics
NPI:1669642138
Name:CARDIOVASCULAR CONSULTANTS OF MI
Entity Type:Organization
Organization Name:CARDIOVASCULAR CONSULTANTS OF MI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:COTANT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-334-6840
Mailing Address - Street 1:44555 WOODWARD AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-5031
Mailing Address - Country:US
Mailing Address - Phone:248-334-6840
Mailing Address - Fax:248-858-3870
Practice Address - Street 1:44555 WOODWARD AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-5031
Practice Address - Country:US
Practice Address - Phone:248-334-6840
Practice Address - Fax:248-858-3870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJC030042207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty