Provider Demographics
NPI:1295301133
Name:PINNACLE ANESTHESIA PLLC
Entity type:Organization
Organization Name:PINNACLE ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHALEK
Authorized Official - Suffix:
Authorized Official - Credentials:CPPM
Authorized Official - Phone:586-726-8423
Mailing Address - Street 1:1701 SOUTH BLVD E STE 300
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-6120
Mailing Address - Country:US
Mailing Address - Phone:248-844-9710
Mailing Address - Fax:
Practice Address - Street 1:48801 ROMEO PLANK RD STE 101
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-2165
Practice Address - Country:US
Practice Address - Phone:586-726-8487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty