Provider Demographics
NPI:1043680101
Name:OFFICE ANESTHESIA, PLC
Entity Type:Organization
Organization Name:OFFICE ANESTHESIA, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:MINNEC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-798-1045
Mailing Address - Street 1:4580 STATE ST
Mailing Address - Street 2:#144
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-3803
Mailing Address - Country:US
Mailing Address - Phone:989-798-1045
Mailing Address - Fax:
Practice Address - Street 1:4580 STATE ST
Practice Address - Street 2:#144
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-3803
Practice Address - Country:US
Practice Address - Phone:989-798-1045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty