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General NPI Number Information
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NPI Number | 1407596349
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Entity Type | Organization
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Legal Business Name | SURGICAL INSTITUTE OF MICHIGAN ANESTHESIA, LLC
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 33545 CHERRY HILL RD STE 200
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City | WESTLAND
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State | MI
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Zip | 48186-4842
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Country | US
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Telephone | 734-729-7960
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Fax | 734-729-7969
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Provider Business Mailing Address
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Address Line | 33545 CHERRY HILL RD SUITE 200
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City | WESTLAND
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State | MI
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Zip | 48186-4842
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Country | US
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Telephone | 734-729-7960
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Fax | 734-729-7969
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Authorized Official
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Title or Position | SCHEDULER
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Name | MARIA SWITALA
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Credential |
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Telephone | 734-729-7960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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