Organization
KOLASCZ ANESTHESIA STAFFING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS R KOLASCZ CRNA (OWNER)
(810) 705-3196
Entity
Organization
Contact information
Practice address
538 BOND AVE NW APT 612, GRAND RAPIDS, MI 49503-6707
(810) 705-3196
Mailing address
5623 E DUNBAR RD, MONROE, MI 48161-9127
(734) 241-3891
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
05/14/2019
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