Provider Demographics
NPI:1326422551
Name:ADVANCE CHOICES IN CARE, PLLC
Entity Type:Organization
Organization Name:ADVANCE CHOICES IN CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KURZE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-330-8109
Mailing Address - Street 1:3641 SANTA FE TRL
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2776
Mailing Address - Country:US
Mailing Address - Phone:734-330-8109
Mailing Address - Fax:
Practice Address - Street 1:3641 SANTA FE TRL
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2776
Practice Address - Country:US
Practice Address - Phone:734-330-8109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301054304207LH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LH0002XAllopathic & Osteopathic PhysiciansAnesthesiologyHospice and Palliative MedicineGroup - Single Specialty