Organization
MAPLE RIDGE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS L EBRIGHT ZEHR (OWNER)
(574) 202-2759
Entity
Organization
Contact information
Practice address
63950 OLD COUNTY ROAD 17, GOSHEN, IN 46526-9505
(574) 202-2759
Mailing address
63950 OLD COUNTY ROAD 17, GOSHEN, IN 46526-9505
(574) 202-2759
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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