Organization · Type 2 NPI

Ketamine Institute of Michigan

Addiction Medicine (Anesthesiology) Physician · Monroe, MI

NPI number 1013526276 Active

Practice location

98 Winchester St Ste 100
Monroe, MI 48161-1957

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Anesthesiology) Physician Primary 207LA0401XNone listed

Addiction Medicine (Anesthesiology) Physician: An anesthesiologist who specializes in the diagnosis and treatment of addictions.

About NPI 1013526276

Ketamine Institute of Michigan's National Provider Identifier is 1013526276, issued on Jul 23, 2020. The primary taxonomy on file is Addiction Medicine (Anesthesiology) Physician (207LA0401X), and the practice location is in Monroe, MI. The record was last updated on Jul 23, 2020.