| NPI | 1497796338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KERSJES President 616-752-3092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2015-08-20 |