Organization
APOLLO MEDICAL GROUP OF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYMAN ELFAR MD (MANAGING PARTNER)
(941) 725-1198
Entity
Organization
Contact information
Practice address
3200 W CENTRE AVE STE 101, PORTAGE, MI 49024-4889
(269) 323-9905
Mailing address
PO BOX 2698, SPRINGFIELD, IL 62708-2698
(941) 725-1198
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
12/13/2024
Last updated
01/02/2025
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