Organization
MIDWEST ANESTHESIA RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL COSGROVE CRNA (PRESIDENT)
(734) 241-3891
Entity
Organization
Contact information
Practice address
45209 OAK FOREST DR, NORTHVILLE, MI 48168-4440
(248) 471-3058
Mailing address
PO BOX 531293, LIVONIA, MI 48153-1293
(248) 471-3058
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704153806
MI
Other
Enumeration date
02/03/2006
Last updated
08/22/2020
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