Midwest Anesthesia Resources, INC.
Nurse Anesthetist, Certified Registered in Northville, MI. Organization (NPI-2).
NPI number1467424465
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1467424465
- Entity type
- Organization (NPI-2)
- Legal business name
- Midwest Anesthesia Resources, INC.
- Organization subpart
- No
- Enumeration date
- Feb 3, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704153806 | MI | Yes |
Practice location
45209 Oak Forest DrNorthville, MI 48168-4440
Phone 248-471-3058
Mailing address
Po Box 531293Livonia, MI 48153-1293
Phone 248-471-3058
Authorized official
Michael Cosgrove
President
7342413891
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