Organization
ANESTHESIA OFFICE CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BORREGO CRNA (PRESIDENT)
(734) 765-2921
Entity
Organization
Contact information
Practice address
18100 OAKWOOD BLVD, SUITE 100, DEARBORN, MI 48124-4071
(313) 253-2000
Mailing address
26906 PEPPERWOOD DR, WOODHAVEN, MI 48183-4470
(734) 765-2921
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7721746
AETNA
MI
01
—
AN820029
MCARE
MI
Enumeration date
05/22/2006
Last updated
08/22/2020
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