Organization
SOUTH SHORE ANESTHESIA STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER SKELLENGER MS, CRNA (CEO)
(906) 399-3611
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE STE 235, MARQUETTE, MI 49855-5406
(906) 361-4901
Mailing address
PO BOX 4419, WOODLAND HILLS, CA 91365-4419
(818) 340-9988
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
09/03/2020
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