Organization
MIDWESTERN ANESTHESIOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYLVIA XI-MOY MD (AUTHORIZED REPRESENTATIVE)
(847) 872-7544
Entity
Organization
Contact information
Practice address
2520 ELISHA AVE, ZION, IL 60099-2676
(847) 872-7544
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 516-5315
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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