Organization
ESSENTIAL ANESTHESIA SERVICES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAR EVERETT STOOPS (PRACTICE MANAGER)
(248) 244-9578
Entity
Organization
Contact information
Practice address
264 W MAPLE RD, SUITE 200, TROY, MI 48084-5458
(248) 244-9578
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576-2698
(843) 651-2624
(843) 357-4940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D62587
MI
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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