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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