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Organization
STARWOOD PRECISION ANESTHESIA PLLC
Active
Organization
STARWOOD PRECISION ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATIF BAWAHAB (ADMIN)
(979) 574-7109
Entity
Organization
Contact information
Practice address
13460 FORT ST, SOUTHGATE, MI 48195-1138
(888) 551-2288
(888) 770-6360
Mailing address
PO BOX 1055, SOUTHGATE, MI 48195-0055
(888) 551-2288
(888) 770-6360
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
NULL
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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