| NPI | 1114463379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN SMITH GERALD SMITH Owner 248-894-8467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704276359) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |