| NPI | 1568534063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W GREENSLAIT Owner 231-845-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2016-01-29 |