Provider Demographics
NPI:1629361191
Name:METROPOLITAN ANESTHESIA CONSULTANTS, PLLC
Entity Type:Organization
Organization Name:METROPOLITAN ANESTHESIA CONSULTANTS, PLLC
Other - Org Name:MAC PAIN & SPINE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:G
Authorized Official - Last Name:NAZARENO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-925-2155
Mailing Address - Street 1:2333 BIDDLE AVE
Mailing Address - Street 2:
Mailing Address - City:WYANDOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48192-4668
Mailing Address - Country:US
Mailing Address - Phone:734-324-3697
Mailing Address - Fax:
Practice Address - Street 1:23050 WEST RD
Practice Address - Street 2:SUITE 220
Practice Address - City:BROWNSTOWN TWP
Practice Address - State:MI
Practice Address - Zip Code:48183-1472
Practice Address - Country:US
Practice Address - Phone:734-250-7277
Practice Address - Fax:734-250-7262
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METROPOLITAN ANESTHESIA CONSULTANTS, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-17
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty