Provider Demographics
NPI:1831527944
Name:MICHIGAN ANESTHESIA PROVIDERS PLC
Entity type:Organization
Organization Name:MICHIGAN ANESTHESIA PROVIDERS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:S
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-680-9000
Mailing Address - Street 1:7091 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3654
Mailing Address - Country:US
Mailing Address - Phone:248-538-7095
Mailing Address - Fax:
Practice Address - Street 1:7091 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 230
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3654
Practice Address - Country:US
Practice Address - Phone:248-538-7095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty