PROVIDENCE PARK ANESTHESIA ASSOCIATES, PC

NOVI, MI
NPI1942459672
Entity TypeOrganization
Authorized ContactDOMINICK LAGO
Authorized Representative
800-853-8989
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
Enumeration Date2008-09-18
Last Update Date2008-09-18
Business Address
PROVIDENCE PARK ANESTHESIA ASSOCIATES, PC
47601 GRAND RIVER AVE
NOVI, MI 48374-1233
Phone number: 248-465-4100
Mailing Address
PROVIDENCE PARK ANESTHESIA ASSOCIATES, PC
19855 OUTER DR STE L4E
DEARBORN, MI 48124-2027
Phone number: 313-541-6420
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