Organization
MACATAWA ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK GANZI MD (AUTHORIZED OFFICIAL)
(616) 399-4946
Entity
Organization
Contact information
Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 392-5141
Mailing address
588 E 40TH ST, SUITE C, HOLLAND, MI 49423-5367
(616) 399-4946
(616) 399-7229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/12/2006
Last updated
02/12/2016
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