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General NPI Number Information
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NPI Number | 1487609475
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Entity Type | Organization
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Legal Business Name | AMERICAN ANESTHESIOLOGY OF MICHIGAN PC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 3601 W 13 MILE RD
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City | ROYAL OAK
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State | MI
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Zip | 48073-6712
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Country | US
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Telephone | 248-898-1905
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Fax | 248-898-1032
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Provider Business Mailing Address
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Address Line | 1305 WALT WHITMAN RD STE 300
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City | MELVILLE
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State | NY
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Zip | 11747-4300
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Country | US
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Telephone | 516-945-3000
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MATTHEW WALSH
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Credential | MD
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Telephone | 800-243-3839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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