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Justin Shayne Fanning, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Grand Rapids, Michigan
NPI 1700908522

Justin Shayne Fanning is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Grand Rapids, MI. Justin Shayne Fanning practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Justin Shayne Fanning is 1700908522 and holds a License No. 4301074884 (Michigan).

The current practice location address for Justin Shayne Fanning is 221 Michigan St Ne Ste 300, Grand Rapids, MI and can be reached out via phone at 616-459-7258 and via fax at 616-459-5215.

Location: 221 Michigan St Ne Ste 300, Grand Rapids, MI, 49503-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700908522
Provider Name
Justin Shayne Fanning
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
221 Michigan St Ne Ste 300, Grand Rapids, MI, 49503-2560
Phone Number
616-459-7258
Fax Number
616-459-5215
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
221 Michigan St Ne Ste 300
City
Grand Rapids
State
Michigan
Zip
49503-2537
Phone Number
616-459-7258
Fax Number
616-459-5215
person
Provider Business Mailing Address Details
Address
221 Michigan St Ne Ste 300
City
Grand Rapids
State
Michigan
Zip
49503-2537
Phone Number
616-459-7258
Fax Number
616-459-5215
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
4301074884 (Michigan)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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