Healthcare Provider Details

I. General information

NPI: 1558971556
Provider Name (Legal Business Name): GLOBAL ANESTHESIA SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 08/04/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 HOGBACK RD STE 5A
ANN ARBOR MI
48105-9750
US

IV. Provider business mailing address

2006 HOGBACK RD STE 5A
ANN ARBOR MI
48105-9750
US

V. Phone/Fax

Practice location:
  • Phone: 734-263-2400
  • Fax: 734-773-3471
Mailing address:
  • Phone: 734-263-2400
  • Fax: 734-773-3471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: GREG BOCK
Title or Position: CEO
Credential:
Phone: 734-263-2395