| NPI | 1225256324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GROCHOWALSKI Administration 231-929-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-10-26 |