Organization
GROSSE POINTE ANESTHESIOLOGISTS, PC
Active
Organization
GROSSE POINTE ANESTHESIOLOGISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN A ALVAREZ M.D. (VICE PRESIDENT)
(313) 343-1554
Entity
Organization
Contact information
Practice address
65 LAKE SHORE RD, GROSSE POINTE FARMS, MI 48236-3765
(313) 343-1554
Mailing address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 343-1554
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4483978
AETNA
MI
Enumeration date
06/03/2006
Last updated
09/28/2007
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