| NPI | 1851339196 |
|---|---|
| Doing Business As | PROVIDENCE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | THERESE M PILCHAK Director, Nurse Anesthesia 248-849-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-12-04 |