Anesthesia Surgical Associates, PLLC
Nurse Anesthetist, Certified Registered in Clinton Township, MI. Organization (NPI-2).
NPI number1982084497
StatusActive
Last updated in NPPESOct 25, 2018
Details
- NPI
- 1982084497
- Entity type
- Organization (NPI-2)
- Legal business name
- Anesthesia Surgical Associates, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2015
- Last updated
- Oct 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | E64971 | MI | Yes |
| 207L00000X | Anesthesiology | E64971 | MI |
Practice location
34025 Harper AveClinton Township, MI 48035-3737
Phone 734-212-3097 · Fax 734-212-3114
Mailing address
18100 Oakwood Blvd Ste 100Dearborn, MI 48124-4085
Phone 734-212-3097 · Fax 734-212-3114
Authorized official
Ricardo Borrego
Owner/President
7342123097
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