| NPI | 1568270783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN STAWICKI President 248-225-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2025-02-03 |