Great Lakes Anesthesia Consultants Pllc

NPI #1609142447 in Portage, Michigan

Provider Information

NPI Number
1609142447
Entity Type
Organization
Organization Name
Great Lakes Anesthesia Consultants Pllc
Primary Specialty
Anesthesiology
Enumeration Date
Mar 27, 2012
Last Updated
Apr 30, 2012

Practice Location

Address
7901 ANGLING RD
ZIP Code
49024-0714
Phone
(269) 324-8406

Authorized Official

Name
BRIJ M. DEWAN, MD
Title
MEMBER
Phone
(269) 324-8406

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered
Anesthesiology

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