Organization
ANESTHESIA SERVICES OF DETROIT RECEIVING & HUTZEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL PEROV M.D. (CHIEF OF ANESTHESIA)
(313) 578-3046
Entity
Organization
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 578-3046
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/03/2007
Last updated
10/13/2009
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