Organization
TWIN LAKES ANESTHESIA
Active
Organization
TWIN LAKES ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ADAMSON M.D. (OFFICER)
(231) 876-7301
Entity
Organization
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7301
(231) 876-7310
Mailing address
320 PETRIE RD, CADILLAC, MI 49601-8734
(231) 775-3026
(231) 876-7310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H31013
BLUE CROSS BLUE SHIELD
MI
01
—
125997
PREFERRED CHOICES GROUP #
MI
Enumeration date
06/03/2006
Last updated
07/16/2008
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