Healthcare Provider Details
I. General information
NPI: 1174316145
Provider Name (Legal Business Name): ANESTHESIA SERVICES ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2025
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1221 PINE GROVE AVE
PORT HURON MI
48060-3511
US
IV. Provider business mailing address
1990 UNION LAKE RD STE 350
COMMERCE TWP MI
48382-2288
US
V. Phone/Fax
- Phone: 810-989-3283
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HARPREET
SINGH
Title or Position: CEO
Credential:
Phone: 248-935-3677