| NPI | 1710735287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE KRUSZKA Mpn COO 231-935-6917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-11-08 |