# MICHIGAN CRITICAL CARE ANESTHESIOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michigan CCA PLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750689121
- **Authorized official:** KRASSIMIR DENCHEV MD (OWNER)
- **Authorized official phone:** (313) 359-3539

## Contact information

- **Practice address:** 18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
- **Practice address phone:** (313) 359-3539
- **Mailing address:** 8316 VIRGIL ST, DEARBORN HEIGHTS, MI 48127-1520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2011
- **Last updated:** 04/19/2011