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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK LEROY VANDERWEIDE, CRNA

Active

MARK LEROY VANDERWEIDE, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in CHARLEVOIX, Michigan. NPI 1225758824 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · CHARLEVOIX, MI

Registration Details

NPI Number
1225758824
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2022 (3.936332926706 yrs)
Last Updated
Oct 12, 2022
License
4704293836 (MI)

Practice Information

Address
14700 LAKE SHORE DR
CHARLEVOIX, MI, 497201999
Browse MI providers · Browse ZIP 49720
Phone
2315474024
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in CHARLEVOIX, MI

Name Credential NPI
MICHAEL C MACMILLAN CRNA 1023003613
MEL CHOPONIS CRNA 1689762379
KENNETH FORRESTER CRNA 1780772459
MICHAEL JOHNSON CRNA 1114000668
DENISE L. MONTGOMERY CRNA 1922252618
JENNIFER L SIMONS CRNA 1679894117
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.