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INEKA K IRISH
3990 JOHN R ST DETROIT MI 482012018

INEKA K IRISH is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1104223247. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 3274858840. The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST. The organization is NORTHSTAR ANESTHESIA OF MICHIGAN PLLC. The address is 3990 JOHN R ST, , DETROIT, MI, 482012018. The zip code is 482012018.


Nation Provider ID1104223247
PAC ID by PECOS3274858840
Professional Enrollment IDI20150203001260
NameINEKA K IRISH
Medical School NameUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year2014
Primary SpecialtyCERTIFIED REGISTERED NURSE ANESTHETIST
All secondary specialties
Organization NameNORTHSTAR ANESTHESIA OF MICHIGAN PLLC
Group Practice PAC ID9638481591
Number of Group Practice members127
Address3990 JOHN R ST, , DETROIT, MI, 482012018
Hospital affiliation LBNVHS HARPER HUTZEL HOSPITAL INC
Graduation Year2014
Contact Number3139930822
Email Address[Show_Email_ID]

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