Organization
GROVES ANSELM ANESTHESIA SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN LEE GROVES ANSELM CRNA (PRESIDENT)
(330) 665-0758
Entity
Organization
Contact information
Practice address
970 EAST WASHINGTON AVE, SUITE 203 MEDINA SURGICAL HOSPITAL, MEDINA, OH 44256
(330) 723-7246
(330) 725-7855
Mailing address
PO BOX 335, BATH, OH 44210
(330) 472-5249
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AANA45193
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083624886
PERSONAL NPI
OH
01
—
AANA45193
ROBIN LEE GROVES ANSELM
—
05
—
GR8216607
—
OH
Enumeration date
11/13/2006
Last updated
08/22/2020
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