| NPI | 1114378981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE A GONZALES Managing Member 586-264-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |