Organization
SIESTA ANESTHESIA SERVICES, PLLC
Active
Organization
SIESTA ANESTHESIA SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROSENKRANZ M.D. (MEMBER)
(208) 610-5503
Entity
Organization
Contact information
Practice address
520 N 3RD AVE, SANDPOINT, ID 83864-1507
(208) 263-1441
Mailing address
PO BOX 2556, SANDPOINT, ID 83864-0917
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M-12159
ID
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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