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Memac Associates, PC

Nurse Anesthetist, Certified Registered in Warren, MI. Organization (NPI-2).

NPI number1083663652
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1083663652
Entity type
Organization (NPI-2)
Legal business name
Memac Associates, PC
Organization subpart
No
Enumeration date
May 9, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered––Yes
207LP2900X Anesthesiology, Pain Medicine––

Practice location

11800 E 12 Mile Rd
Anesthesia Department
Warren, MI 48093-3472

Phone 586-573-5260

Mailing address

7 W Square Lake Rd
Bloomfield Hills, MI 48302-0462

Phone 586-573-5260

Authorized official

Horacio G. Lardo
President
5865735267

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