| NPI | 1063602092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GUSHO CFO 248-763-3575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2025-01-06 |