Organization
SAAS AMBULATORY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R ALTIER CRNA (AUTHORIZED OFFICIAL)
(440) 224-2950
Entity
Organization
Contact information
Practice address
3915 E GAGEVILLE ROAD, KINGSVILLE, OH 44048
(440) 224-2950
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/23/2006
Last updated
11/28/2007
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