Organization
AFFILIATED ANESTHESIOLOGISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN GALL D.O. (PRESIDENT)
(734) 655-2022
Entity
Organization
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-2022
Mailing address
36475 5 MILE RD, LIVONIA, MI 48154-1971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H277090
BCBS
MI
Enumeration date
08/29/2006
Last updated
05/30/2008
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