Organization
SAINT JOSEPH MERCY SALINE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRY FAJA (PRESIDENT CEO)
(734) 712-3791
Entity
Organization
Contact information
Practice address
400 W RUSSELL ST, ANESTHESIOLOGY DEPT, SALINE, MI 48176-1183
(734) 429-1500
Mailing address
5301 E HURON RIVER DR, PO BOX 993, MC 69504, YPSILANTI, MI 48197-1051
(734) 712-3456
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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