Organization
ANESTHESIA ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GUST KOSKI D.O. (PRESIDENT)
(906) 265-4019
Entity
Organization
Contact information
Practice address
1301 CARPENTER AVE, IRON MOUNTAIN, MI 49801-4725
(906) 774-1404
Mailing address
PO BOX 370, IRON MOUNTAIN, MI 49801-0370
(906) 265-4019
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101008053
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050B210034
BCBS
MI
Enumeration date
03/05/2008
Last updated
09/02/2010
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