Provider Demographics
NPI:1366581761
Name:GREAT LAKES HEART CENTER OF ALPENA PLC
Entity type:Organization
Organization Name:GREAT LAKES HEART CENTER OF ALPENA PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJEEV
Authorized Official - Middle Name:
Authorized Official - Last Name:ARORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-356-0141
Mailing Address - Street 1:460 LONG RAPIDS PLZ
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-1442
Mailing Address - Country:US
Mailing Address - Phone:989-356-0141
Mailing Address - Fax:989-354-5670
Practice Address - Street 1:460 LONG RAPIDS PLZ
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-1442
Practice Address - Country:US
Practice Address - Phone:989-356-0141
Practice Address - Fax:989-354-5670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty