Organization
DHOM ANESTHESIA ADMINISTRATIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA JOSEPH MD (OWNER)
(810) 869-0397
Entity
Organization
Contact information
Practice address
461 W HURON ST, PONTIAC, MI 48341-1601
(248) 857-7310
Mailing address
1102 WOODSIDE DR, FLINT, MI 48503-5341
(810) 869-0397
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301061430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4574510
—
MI
Enumeration date
03/07/2013
Last updated
03/07/2013
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