Apollo Medical Group of Lake George LLC

NPI #1467067579 in Fremont, Indiana

Provider Information

NPI Number: 1467067579
Entity Type: Organization
Organization Name: Apollo Medical Group of Lake George LLC
Primary Specialty: Anesthesiology
Enumeration Date: Sep 15, 2020
Last Updated: Sep 15, 2020

Practice Location

Address: 6245 N OLD 27
City: Fremont
State: Indiana
ZIP Code: 46737-8711
Phone: (517) 462-8283

Authorized Official

Name: AYMAN ELFAR, MD
Title: MEMBER/MANAGER
Phone: (941) 360-1566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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