Great Lakes Anesthesia, P.c.

NPI #1720039977 in Elkhart, Indiana

Provider Information

NPI Number: 1720039977
Entity Type: Organization
Organization Name: Great Lakes Anesthesia, P.c.
Primary Specialty: Anesthesiology
Enumeration Date: May 12, 2006
Last Updated: Nov 6, 2024

Practice Location

Address: 700 E BEARDSLEY AVE STE 209
City: Elkhart
State: Indiana
ZIP Code: 46514-3371
Phone: (574) 522-9922

Authorized Official

Name: MR. SETH CLAXTON, CRNA
Title: CEO
Phone: (574) 522-9922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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