Organization
EASTERN DISTRICT ANESTHESIOLOGY PLLC
Active
Organization
EASTERN DISTRICT ANESTHESIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GINNEBAUGH MD (PRESIDENT)
(586) 263-2373
Entity
Organization
Contact information
Practice address
1349 S ROCHESTER RD STE 250, ROCHESTER HILLS, MI 48307-3186
(248) 601-0040
Mailing address
5600 LOCKWOOD DR, WASHINGTON, MI 48094-2637
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/15/2019
Last updated
08/13/2026
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