Individual
TERESA M KOELZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1919 BOSTON ST SE, METRO HEALTH - HOSPITAL, GRAND RAPIDS, MI 49506-4160
(616) 808-3944
(616) 808-3948
Mailing address
400 ANN ST NW, SUITE 209, GRAND RAPIDS, MI 49504-2052
(616) 808-3944
(616) 808-3948
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704141580
MI
Other
Enumeration date
04/10/2006
Last updated
07/09/2007
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