GREAT LAKES SURGICAL CENTER ANESTHESIA, PLC

SOUTHFIELD, MI
NPI1053353847
Entity TypeOrganization
Authorized ContactKEVIN KLEINHOMER
Authorized Representative
248-223-9945
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
Enumeration Date2006-06-13
Last Update Date2007-09-19
Business Address
GREAT LAKES SURGICAL CENTER ANESTHESIA, PLC
26051 LAHSER RD
SOUTHFIELD, MI 48034-2601
Phone number: 248-223-9945
Mailing Address
GREAT LAKES SURGICAL CENTER ANESTHESIA, PLC
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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