| NPI | 1639102197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS KEENE President 989-893-9885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-11-27 |