Graduated: 2023
NPI: 1346003217
Practice Locations (3)
NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
3601 W 13 MILE RD, NSA OF MICHIGAN III PLLC
ROYAL OAK, MI 480736712
2146870001
NSA PAIN SERVICES OF MICHIGAN III, PLLC
10000 TELEGRAPH RD
TAYLOR, MI 481803330
2146870001
NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
33155 ANNAPOLIS ST
WAYNE, MI 481842405
2146870001
Source: CMS National Downloadable File, September 2026.