Organization
NOVI ORTHOPEDIC ANESTHESIA SPECIALISTS, P.C.
Active
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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