Great Lakes Anesthesia Indiana And Michigan, PLLC
Anesthesiology in Sturgis, MI. Organization (NPI-2).
NPI number1891069605
StatusActive
Last updated in NPPESFeb 13, 2013
Details
- NPI
- 1891069605
- Entity type
- Organization (NPI-2)
- Legal business name
- Great Lakes Anesthesia Indiana And Michigan, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 27, 2012
- Last updated
- Feb 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | – | – |
Practice location
916 Myrtle StSturgis, MI 49091-2326
Phone 574-522-9922 · Fax 574-522-9926
Mailing address
Po Box 686Indianapolis, IN 46206-0686
Phone 574-522-9922 · Fax 574-522-9926
Authorized official
Robert Bart Powers
Owner/Board Member
5745229922
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