Organization
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION
Active
Other names
Gerber Memorial CRNA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL J STASIK (CEO)
(231) 924-3300
Entity
Organization
Contact information
Practice address
212 S SULLIVAN AVE, FREMONT, MI 49412-1548
(231) 924-3300
Mailing address
212 S SULLIVAN AVE, FREMONT, MI 49412-1548
(231) 924-3300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/04/2008
Last updated
01/08/2010
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