Healthcare Provider Details

I. General information

NPI: 1497394712
Provider Name (Legal Business Name): UNIVERSAL ANESTHESIA SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2020
Last Update Date: 01/03/2020
Certification Date: 01/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 S ROCHESTER RD STE B
ROCHESTER HILLS MI
48307-4547
US

IV. Provider business mailing address

2700 S ROCHESTER RD STE B
ROCHESTER HILLS MI
48307-4547
US

V. Phone/Fax

Practice location:
  • Phone: 248-212-0336
  • Fax:
Mailing address:
  • Phone: 248-212-0336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ADAM KUZ
Title or Position: OWNER
Credential: CRNA
Phone: 908-653-9399