Organization
ANESTHESIA ASSOCIATES OF WEST MICHIGAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W GREENSLAIT DO (OWNER)
(231) 845-2348
Entity
Organization
Contact information
Practice address
1 N ATKINSON DR, LUDINGTON, MI 49431-1906
(231) 845-2348
(231) 845-3648
Mailing address
PO BOX 960, LUDINGTON, MI 49431-0960
(231) 480-4668
(231) 480-4736
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430E31004
BLUE CROSS BLUE SHIELD
MI
01
—
CE7735
RAILROAD MEDICARE
—
Enumeration date
11/14/2006
Last updated
01/29/2016
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