Provider Demographics
NPI:1003214537
Name:PULMONARY CRITICAL CARE AND SLEEP MEDICINE
Entity Type:Organization
Organization Name:PULMONARY CRITICAL CARE AND SLEEP MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ASKER
Authorized Official - Middle Name:
Authorized Official - Last Name:ASMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-283-5555
Mailing Address - Street 1:1600 KENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-1896
Mailing Address - Country:US
Mailing Address - Phone:734-657-1777
Mailing Address - Fax:
Practice Address - Street 1:18025 FORT ST
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:MI
Practice Address - Zip Code:48193-7432
Practice Address - Country:US
Practice Address - Phone:734-283-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704250103282N00000X, 282NC0060X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
No282N00000XHospitalsGeneral Acute Care Hospital
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access