Teresa M Koelzer, CRNA
Nurse Anesthetist, Certified Registered in Grand Rapids, MI. Individual provider (NPI-1).
Details
- NPI
- 1679536718
- Entity type
- Individual (NPI-1)
- Name
- Teresa M Koelzer
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2006
- Last updated
- Jul 9, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704141580 | MI | Yes |
Practice location
1919 Boston St SeMetro Health - Hospital
Grand Rapids, MI 49506-4160
Phone 616-808-3944 · Fax 616-808-3948
Mailing address
400 Ann St NwSuite 209
Grand Rapids, MI 49504-2052
Phone 616-808-3944 · Fax 616-808-3948
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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