Organization
ANESTHESIA SURGICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO BORREGO M.D. (OWNER/PRESIDENT)
(734) 212-3097
Entity
Organization
Contact information
Practice address
34025 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3737
(734) 212-3097
(734) 212-3114
Mailing address
18100 OAKWOOD BLVD STE 100, DEARBORN, MI 48124-4085
(734) 212-3097
(734) 212-3114
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
E64971
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
E64971
MI
Other
Enumeration date
06/01/2015
Last updated
10/25/2018
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