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Innovative Anesthesia Services Pc
Medical Specialty Clinic/Center in Grand Rapids, Michigan
NPI 1275937625

Innovative Anesthesia Services Pc is a Medical Specialty Clinic/Center based in Grand Rapids, MI and is specialized in Medical Specialty. Innovative Anesthesia Services Pc practices in Grand Rapids, MI. The NPI Number for Innovative Anesthesia Services Pc is 1275937625 and holds a License No. 4301091286 (Michigan).

The current practice location address for Innovative Anesthesia Services Pc is 847 Parchment Dr Se Ste 105, Grand Rapids, MI and can be reached out via phone at 616-516-4837.

Location: 847 Parchment Dr Se Ste 105, Grand Rapids, MI, 49546-2377
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275937625
Provider Name
Innovative Anesthesia Services Pc
Credential
Provider Entity Type
Organization
Address
847 Parchment Dr Se Ste 105, Grand Rapids, MI, 49546-2377
Phone Number
616-516-4837
Fax Number
Provider Enumeration Date
10/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
847 Parchment Dr Se Ste 105
City
Grand Rapids
State
Michigan
Zip
49546
Phone Number
616-516-4837
Fax Number
person
Provider Business Mailing Address Details
Address
847 Parchment Dr Se Ste 105
City
Grand Rapids
State
Michigan
Zip
49546
Phone Number
616-516-4837
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
4301091286 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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