| NPI | 1821866476 |
|---|---|
| Doing Business As | SCG ANESTHESIA, PLLC |
| Entity Type | Organization |
| Authorized Contact | EDWARD P STACK Owner 810-720-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |