Provider Demographics
NPI:1851666424
Name:MICHIGAN CRNAS STAFFING LLC
Entity Type:Organization
Organization Name:MICHIGAN CRNAS STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUST
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:248-470-9986
Mailing Address - Street 1:43422 W OAKS DR
Mailing Address - Street 2:#332
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-3300
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:43422 W OAKS DR
Practice Address - Street 2:#332
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-3300
Practice Address - Country:US
Practice Address - Phone:248-378-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-15
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty