Organization
SOUTHEASTERN MICHIGAN ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUSSEIN HURAIBI MD (AUTHORIZED REPRESENTATIVE)
(734) 476-4845
Entity
Organization
Contact information
Practice address
42680 FORD RD, CANTON, MI 48187
(734) 844-5700
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(800) 516-5315
(517) 787-7365
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/12/2009
Last updated
06/25/2012
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