Organization
HURON GASTROENTEROLOGY ASSOCIATES PC
Active
Organization
HURON GASTROENTEROLOGY ASSOCIATES PC
Active
Other names
Huron Gastro
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI LYNN GUZOWSKI (DATA COORDINATOR)
(734) 528-5385
Entity
Organization
Contact information
Practice address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Mailing address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10H14989
BCBSM
MI
01
—
CE4308
MEDICARE RAILROAD GROUP
MI
Enumeration date
08/21/2006
Last updated
08/27/2025
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