Beaumont West Bloomfield Asc LLC
NPI #1275790206 in W Bloomfield, Michigan
Provider Information
- NPI Number
- 1275790206
- Entity Type
- Organization
- Organization Name
- Beaumont West Bloomfield Asc LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BEAUMONT WEST BLOOMFIELD ASC LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- May 19, 2008
- Last Updated
- May 19, 2008
Practice Location
- Address
- 6900 ORCHARD LAKE RD
- Address 2
- LL100
- City
- W Bloomfield
- State
- Michigan
- ZIP Code
- 48322-3405
- Phone
- (248) 406-2400
Authorized Official
- Name
- KAREN CONNOLLY, RN
- Title
- PROJECT COORDINATOR
- Phone
- (248) 798-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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