Organization
LAKESHORE ANESTHESIA SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M CHOVAZ MD (PRESIDENT)
(231) 726-4498
Entity
Organization
Contact information
Practice address
1700 CLINTON ST, MUSKEGON, MI 49442-5502
(231) 726-3511
Mailing address
550 W WESTERN AVE, STE B, MUSKEGON, MI 49440-1045
(231) 726-4498
(231) 726-4468
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
02/20/2009
Last updated
07/30/2009
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