Organization
SOUTHWEST ANESTHESIOLOGY GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F BOLOGNA M.D. (PRESIDENT)
(440) 816-8736
Entity
Organization
Contact information
Practice address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-8736
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0716041
—
OH
Enumeration date
06/10/2006
Last updated
09/11/2025
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