| Olivia Dallaire, | |
|
1200 Roslyn Rd, Grosse Pointe Woods, MI 48236-1384 | |
| (313) 244-6426 | |
| Not Available |
| Full Name | Olivia Dallaire |
|---|---|
| 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 |
|---|---|---|---|
| 1699490094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 132214 (Michigan) | Primary |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| 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 |
|---|---|
| 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 |