Mr Milton James Desgrandchamp, CRNA | |
255 Lewiston Rd, Grosse Pointe Farms, MI 48236-3450 | |
(313) 530-6603 | |
Not Available |
Full Name | Mr Milton James Desgrandchamp |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 33 Years |
Location | 255 Lewiston Rd, Grosse Pointe Farms, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124116181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704158813 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Surgeons Choice Medical Center | Southfield, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Asa Staffing Inc | 3971898644 | 106 |
Axon Anesthesia Consultants Plc | 7012276819 | 18 |
Entity Name | Ascension St John Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598896995 PECOS PAC ID: 3173424082 Enrollment ID: O20040130000407 |
Entity Name | Southfield Rehabilitation Company |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790785095 PECOS PAC ID: 6709872617 Enrollment ID: O20060414000038 |
Entity Name | Eastside Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235365289 PECOS PAC ID: 4486790219 Enrollment ID: O20091008000624 |
Entity Name | Michigan Interventional Pain Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861819161 PECOS PAC ID: 4385867266 Enrollment ID: O20140521002054 |
Entity Name | Asa Staffing Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
Entity Name | Axon Anesthesia Consultants Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235643495 PECOS PAC ID: 7012276819 Enrollment ID: O20180124003392 |
Entity Name | Eastern District Anesthesiology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396397741 PECOS PAC ID: 6507195419 Enrollment ID: O20190830002837 |
Mailing Address | Practice Location Address |
---|---|
Mr Milton James Desgrandchamp, CRNA Po Box 36775, Grosse Pointe, MI 48236-0775 Ph: (313) 530-6603 | Mr Milton James Desgrandchamp, CRNA 255 Lewiston Rd, Grosse Pointe Farms, MI 48236-3450 Ph: (313) 530-6603 |