Organization
MIDWEST CENTER FOR SLEEP DISORDERS LLC
Active
Parent organization
MIDWEST CENTER FOR SLEEP DISORDERS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST CENTER FOR SLEEP DISORDERS LLC
Authorized official
DR. ASHOK K GUPTA MD (CO-OWNER)
(517) 663-9469
Entity
Organization
Contact information
Practice address
10415 GRAND RIVER RD, STE 500, BRIGHTON, MI 48116-6535
(810) 225-7595
(810) 225-7597
Mailing address
101 E SPICERVILLE HWY, EATON RAPIDS, MI 48827-1919
(517) 663-9469
(517) 663-9470
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
AA058590
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
AG048680
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
CG043420
MI
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
01/13/2012
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