Organization
METROPOLITAN ANESTHESIA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA JEAN EDWARDS (PRACTICE MANAGER)
(616) 808-3944
Entity
Organization
Contact information
Practice address
1919 BOSTON ST SE, GRAND RAPIDS, MI 49506-4160
(616) 252-7103
Mailing address
400 ANN ST NW, SUITE 209, GRAND RAPIDS, MI 49504-2052
(616) 808-3944
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477522670
LAREE DEPIES CRNA
MI
01
—
1598728636
SUSAN RUTHERFORD CRNA
MI
01
—
1679536718
TERESA KOELZER CRNA
MI
01
—
1912960675
DAVID KNIGHT CRNA
MI
05
—
4322138
—
MI
05
—
4349131
—
MI
05
—
4537409
—
MI
05
—
4718235
—
MI
Enumeration date
04/24/2007
Last updated
08/22/2020
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