Organization
NORTHSTAR ANESTHESIA OF MICHIGAN II PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP W EICHENHOLZ MD (PRESIDENT)
(214) 687-0008
Entity
Organization
Contact information
Practice address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
(972) 518-2100
Mailing address
PO BOX 612382, DALLAS, TX 75261-2382
(239) 610-0775
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050F319200
BCBS
MI
Enumeration date
08/29/2006
Last updated
05/25/2021
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