| NPI | 1225725203 |
|---|---|
| Doing Business As | GREAT LAKES EYE ANESTHESIA |
| Entity Type | Organization |
| Authorized Contact | FARHAD K SHOKOOHI Owner 989-793-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |