Organization
ALAN HO ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN HO CRNA (OWNER)
(734) 241-3891
Entity
Organization
Contact information
Practice address
7169 BALMORAL DR, WEST BLOOMFIELD, MI 48322-2776
(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
367500000X
Certified Registered Nurse Anesthetist
Primary
4704227547
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704227547
LICENSE NUMBER
MI
Enumeration date
01/24/2014
Last updated
01/24/2014
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