Great Lakes Anesthesia Indiana and Michigan, Pllc

NPI #1891069605 in Sturgis, Michigan

Provider Information

NPI Number: 1891069605
Entity Type: Organization
Organization Name: Great Lakes Anesthesia Indiana and Michigan, Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Feb 27, 2012
Last Updated: Feb 13, 2013

Practice Location

Address: 916 MYRTLE ST
City: Sturgis
State: Michigan
ZIP Code: 49091-2326
Phone: (574) 522-9922

Authorized Official

Name: ROBERT BART POWERS, D.O.
Title: OWNER/BOARD MEMBER
Phone: (574) 522-9922

Specialties & Taxonomy Codes

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

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