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Organization

NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN P WOODS MD (PRESIDENT, CLINICAL SERVICES)
(214) 687-0001
Entity
Organization

Contact information

Practice address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
(972) 518-0001
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(239) 610-0775

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
05/21/2020
Last updated
05/25/2021
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