Michigan Gulf to Bay Anesthesiology Associates Psc

NPI #1184839839 in Lake Orion, Michigan

Provider Information

NPI Number: 1184839839
Entity Type: Organization
Organization Name: Michigan Gulf to Bay Anesthesiology Associates Psc
Primary Specialty: Anesthesiology
Enumeration Date: May 14, 2007
Last Updated: Jun 21, 2018

Practice Location

Address: 1375 S LAPEER RD
Address 2: SUITE 109
City: Lake Orion
State: Michigan
ZIP Code: 48360-1421
Phone: (248) 693-7954

Authorized Official

Name: DR. DEVANAND MANGAR, M.D.
Title: OWNER/PRESIDENT
Phone: (813) 844-4396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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