Organization
LAKELAND ANESTHESIA, PC
Active
Other names
Lakeland Anesthesia, PC
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DILLON (EXECUTIVE DIRECTOR)
(616) 284-3100
Entity
Organization
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(616) 364-4200
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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