Detroit Anesthesia Group PLLC
Anesthesiology in Novi, MI. Organization (NPI-2).
NPI number1316212988
StatusActive
Last updated in NPPESJan 20, 2016
Details
- NPI
- 1316212988
- Entity type
- Organization (NPI-2)
- Legal business name
- Detroit Anesthesia Group PLLC
- Organization subpart
- No
- Enumeration date
- Mar 15, 2012
- Last updated
- Jan 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
43422 W Oaks Dr#332
Novi, MI 48377-3300
Phone 248-378-4100
Mailing address
43422 W Oak Dr#332
Novi, MICHIGAN 48377
United States Minor Outlying Islands
Authorized official
Chris Youst
Authorized Official
2484709986
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