Olivia Dallaire, | |
1200 Roslyn Rd, Grosse Pointe Woods, MI 48236-1384 | |
(313) 244-6426 | |
Not Available |
Full Name | Olivia Dallaire |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1200 Roslyn Rd, Grosse Pointe Woods, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699490094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 132214 (Michigan) | Primary |
Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
Mailing Address | Practice Location Address |
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Olivia Dallaire, 1200 Roslyn Rd, Grosse Pointe Woods, MI 48236-1384 Ph: (313) 244-6426 | Olivia Dallaire, 1200 Roslyn Rd, Grosse Pointe Woods, MI 48236-1384 Ph: (313) 244-6426 |
Stephanie Marie Michaels, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19927 W Doyle Pl, Grosse Pointe Woods, MI 48236 Phone: 586-899-8696 | |
Christopher Michael Lebel, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1891 Manchester Blvd, Grosse Pointe Woods, MI 48236 Phone: 313-549-1027 |