Organization
BIG RAPIDS ANESTHESIA PLC
Active
Organization
BIG RAPIDS ANESTHESIA PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GILKINS CRNA (PARTNER)
(734) 241-3891
Entity
Organization
Contact information
Practice address
17811 TRESTLE BEND DR, BIG RAPIDS, MI 49307-1181
(734) 241-3891
(734) 241-0014
Mailing address
5623 E DUNBAR RD, MONROE, MI 48161-9127
(734) 241-3891
(734) 241-0014
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704185510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704185510
STATE LIC NUMBER
MI
Enumeration date
04/24/2014
Last updated
04/24/2014
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