Organization
MICHIGAN ANESTHESIA PRACTITIONERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMONT SWAIN CRNA (PRESIDENT)
(734) 241-3891
Entity
Organization
Contact information
Practice address
2463 S M 30, WEST BRANCH, MI 48661-9312
(734) 241-3891
(734) 241-0014
Mailing address
5623 E DUNBAR RD, MONROE, MI 48161-9127
(734) 241-3891
(734) 241-0014
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4704122392
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E810500
BCBS GROUP
MI
Enumeration date
02/07/2008
Last updated
02/07/2008
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