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1972544781
ANESTHESIA SERVICES, PC GRACE
DETROIT, MI
NPI
1972544781
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Entity Type
Organization
Authorized Contact
SAMIR FULEIHAN
Authorized Representative
313-966-3300
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2006-06-10
Last Update Date
2011-08-15
Business Address
ANESTHESIA SERVICES, PC GRACE
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-3300
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Mailing Address
ANESTHESIA SERVICES, PC GRACE
P O BOX 1123 255 W MICHIGAN AVE
JACKSON, MI 49204-1123
Phone number: 517-787-6440
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