Organization
VASCULAR ANESTHESIA STAFFING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WERNER CRNA (CEO)
(231) 349-0421
Entity
Organization
Contact information
Practice address
1525 E BELTLINE AVE NE STE 101, GRAND RAPIDS, MI 49525-4598
(616) 447-8220
Mailing address
20222 GLENWOOD DR, BIG RAPIDS, MI 49307-8705
(231) 349-0421
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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