Providence Park Anesthesia Associates, Pc

LBN: Providence Park Anesthesia Associates, Pc
Providence Park Anesthesia Associates, Pc is an health care organization with primary practice located at 47601 Grand River Ave , Novi MI 48374-1233. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Providence Park Anesthesia Associates, Pc can be contacted via phone (248) 465-4100, or through Lago, Dominick via phone (800) 853-8989.

Contact Information

Primary practice address
47601 Grand River Ave Novi MI 48374-1233
Phone: (248) 465-4100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lago, Dominick Doctor of Medicine (MD)
Phone: (800) 853-8989

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1942459672
LBN Legal business name Providence Park Anesthesia Associates, Pc
DBA Doing business as
Authorized official Lago, Dominick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2008
Last updated Sep 18th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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