Organization
METROPOLITAN ANESTHESIA ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM VANLAAN (ACCOUNTANT)
(616) 235-4800
Entity
Organization
Contact information
Practice address
1919 BOSTON ST SE, METROPOLITAN HOSPITAL, GRAND RAPIDS, MI 49506-4160
(616) 808-3944
(616) 808-3948
Mailing address
96 MONROE CTR NW, SUITE 300, GRAND RAPIDS, MI 49503-2905
(616) 235-4800
(616) 235-1212
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE1952
RAILROAD MEDICARE GRP#
MI
Enumeration date
03/14/2006
Last updated
06/21/2018
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