Organization
OGEMAW ANESTHESIA STAFFING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERE DONALD GETZINGER CRNA (PARTNER)
(734) 241-3891
Entity
Organization
Contact information
Practice address
2463 S M 30, WEST BRANCH, MI 48661-9312
(989) 345-3660
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
4704203885
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704203885
LICENSE
MI
Enumeration date
04/13/2012
Last updated
04/13/2012
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