| NPI | 1255781019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS A GARDINER Sole Mbr 231-225-5216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI E8460D) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |