Organization
NOVI ORTHOPEDIC ANESTHESIA SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICK LAGO JR. MD (AUTHORIZED REPRESENTATIVE)
(800) 853-8989
Entity
Organization
Contact information
Practice address
48201 GRAND RIVER AVE, SUITE 100, NOVI, MI 48374-1242
(800) 853-8989
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 853-8989
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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