Organization
AMERICAN ANESTHESIOLOGY ASSOCIATES OF MICHIGAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG L BRENT M.D. (PRESIDENT)
(810) 606-6499
Entity
Organization
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-6499
(810) 606-7245
Mailing address
2432 GENESYS PKWY, GRAND BLANC, MI 48439-8069
(810) 606-6499
(810) 606-7245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024559
HEALTH PLUS OF MICHIGAN
MI
01
—
050B546530
BCBS ANESTHESIOLOGISTS
MI
01
—
430B510910
BCBS CRNAS
MI
01
—
5462446
AETNA ANESTHESIOLOGISTS
MI
01
—
7910648
AETNA CRNAS
MI
01
—
AN380006
MCARE
MI
Enumeration date
05/17/2006
Last updated
04/22/2014
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