INNOVATIVE ANESTHESIA SERVICES
Ambulatory Health at Fulton St, Ada, MI

License number
Michigan 4301091286
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. CAROL JUGAN M.D.
Title: OWNER
Phone: (616) 780-7489
Address
Address
8108 Fulton St E UNIT B, Ada, MI 49301
National Provider ID: 1275937625
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INNOVATIVE ANESTHESIA SERVICES, PC

Ada, MI

Registration:
Oct 25, 2013
Addresses:
8108 E Fulton St UNIT B, Ada, MI 49301 (Physical)
PO Box 657, Ada, MI 49301 (Mailing)
State ID:
05435K
Business type:
Domestic Profit Corporation
Agent:
Carol Jugan

Innovative Anesthesia Services LLC

975 Cramton Ave NE, Ada, MI 49301

Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments

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