Organization
SWEET GRASS ANESTHESIA PC
Active
Organization
SWEET GRASS ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BARTS CRNA (PRESIDENT)
(406) 265-6336
Entity
Organization
Contact information
Practice address
30 13TH ST, HAVRE, MT 59501-5222
(406) 265-2211
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130888
DEPT OF LABOR & INDUSTRY
MT
Enumeration date
04/19/2006
Last updated
04/29/2008
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