Organization
BEAUMONT WEST BLOOMFIELD ASC LLC
Active
Parent organization
BEAUMONT WEST BLOOMFIELD ASC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAUMONT WEST BLOOMFIELD ASC LLC
Authorized official
KAREN CONNOLLY RN (PROJECT COORDINATOR)
(248) 798-3200
Entity
Organization
Contact information
Practice address
6900 ORCHARD LAKE RD, LL100, W BLOOMFIELD, MI 48322-3405
(248) 406-2400
(248) 406-2401
Mailing address
6900 ORCHARD LAKE RD, LL100, W BLOOMFIELD, MI 48322-3405
(248) 406-2400
(248) 406-2401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
MI
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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