| NPI | 1144525213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY L WARDEN VP/CFO 906-228-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704247120) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-25 |