INNOVATIVE ANESTHESIA SERVICES PC NPI 1275937625

NPI Information

INNOVATIVE ANESTHESIA SERVICES PC is a medical specialty clinic center in Grand Rapids, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). INNOVATIVE ANESTHESIA SERVICES PC NPI is 1275937625. The provider is registered as an organization entity type.

The provider's business location address is:

847 PARCHMENT DR SE STE 105
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 516-4837

The provider's authorized official is Carol Jugan .
The authorized official title is Owner and has the following contact phone number (616) 780-7489.

The enumeration date for this NPI number is 10/14/2014 and was last updated on 9/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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