| NPI | 1124135546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BAZEY Owner 218-779-9048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R22456) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-04-23 |