Organization
SEDATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDA VON HEIMBURG CRNA (OWNER)
(312) 218-5129
Entity
Organization
Contact information
Practice address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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