Graduated: 2022
NPI: 1528734183
Practice Locations (4)
ASA STAFFING INC
1221 PINE GROVE AVE
PORT HURON, MI 480603511
8109875000
NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
3601 W 13 MILE RD, NSA OF MICHIGAN III PLLC
ROYAL OAK, MI 480736712
2146870001
MIYCRNAS LLC
29201 TELEGRAPH RD, SUITE 315
SOUTHFIELD, MI 480347646
2482810028
NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
33155 ANNAPOLIS ST
WAYNE, MI 481842405
2146870001
Source: CMS National Downloadable File, September 2026.