Provider Demographics
NPI:1225617087
Name:AMK ANESTHESIA STAFFING, INC
Entity type:Organization
Organization Name:AMK ANESTHESIA STAFFING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KUZ
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:248-765-4335
Mailing Address - Street 1:1038 LONGSPUR BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-2561
Mailing Address - Country:US
Mailing Address - Phone:248-765-4335
Mailing Address - Fax:833-969-3912
Practice Address - Street 1:34020 7 MILE RD STE 101
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3093
Practice Address - Country:US
Practice Address - Phone:248-516-5016
Practice Address - Fax:833-969-3912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty