Michelle R Gaudreau (NPI# 1154626240, PAC ID# 2567645351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1154626240 |
| PAC ID by PECOS | 2567645351 |
| Professional Enrollment ID | I20110401000284 |
| Full Name | Michelle R Gaudreau |
| Organization Legal Name | NORTHERN ANESTHESIA PROVIDERS PC |
| Address |
416 Connable Ave Petoskey MI 49770-2297 |
| Phone Number | 2314874000 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4789579863 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230105 | MCLAREN NORTHERN MICHIGAN |
| Address | Phone | Organization |
|---|---|---|
| 416 Connable Ave, Petoskey, MI 49770-2297 | 2314874000 | NORTHERN ANESTHESIA PROVIDERS PC |
| Organization Legal Name | NORTHERN ANESTHESIA PROVIDERS PC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Lipman | Anesthesiology | Northern Anesthesia Providers PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Heather J Smith | Certified Registered Nurse Anesthetist (crna) | Northern Anesthesia Providers PC | 416 Connable Ave, Petoskey, MI 49770-2297 |
| Bradley A Green | Certified Registered Nurse Anesthetist (crna) | Northern Anesthesia Providers PC | 416 Connable Ave, Petoskey, MI 49770-2297 |
| Jennifer L Palk | Certified Registered Nurse Anesthetist (crna) | Northern Anesthesia Providers PC | 416 Connable Ave, Petoskey, MI 49770-2297 |
| Katrina Ann Sulitis | Certified Registered Nurse Anesthetist (crna) | Northern Anesthesia Providers PC | 416 Connable Ave, Petoskey, MI 49770-2297 |
| Paul W Hagan | Anesthesiology | Northern Anesthesia Providers PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Brianna M Kurdziel | Certified Registered Nurse Anesthetist (crna) | Northern Anesthesia Providers PC | 416 Connable Ave, Petoskey, MI 49770-2297 |
| Mark E Rothman | Certified Registered Nurse Anesthetist (crna) | Northern Anesthesia Providers PC | 416 Connable Ave, Petoskey, MI 49770-2297 |
| Daniel R Odonnell | Anesthesiology | Northern Anesthesia Providers PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Harry T Pall Jr. | Anesthesiology | Northern Anesthesia Providers PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Street Address |
416 CONNABLE AVE |
| City | PETOSKEY |
| State | MI |
| Zip | 49770-2297 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Robert La Gasse | Nurse Practitioner | Ecs Northern Michigan PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Keely Marie Blosh | Nurse Practitioner | Apogee Medical Group Michigan PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Gary H Shaw | Nephrology | Northern Michigan Medical Management | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Janean Ruth Haggins-dabney | Hospitalist | Apogee Medical Group Michigan PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Nel R Go | Diagnostic Radiology | Northern Imaging Associates PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Saw San | Hospitalist | Apogee Medical Group Michigan PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Mary M Johnson | Hospitalist | Apogee Medical Group Michigan PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Andrzej S Boguszewski | Interventional Cardiology | The Cardiac Institute | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Andrew Joseph Osetek | Diagnostic Radiology | Northern Imaging Associates PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Jonathan A Ducastel | Nephrology | Northern Michigan Medical Management | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen P Kolt | Chiropractic | 1508 Us 31, Petoskey, MI 49770-0065 | |
| James J Beno | Chiropractic | 8983 M, Suite 119, Petoskey, MI 49770-0479 | |
| Amy Beck | Clinical Social Worker | 500 Madison St, Petoskey, MI 49770-2208 | |
| Amy L Juneau | Clinical Social Worker | 500 Madison St, Petoskey, MI 49770-2208 | |
| Andrew Bayci | General Surgery | Acute Care Surgery Medical Group Inc | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Andrea H Naylor | Physical Medicine and Rehabilitation | Northern Michigan Medical Management | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Kathy A Tuinhoff | Physician Assistant | Northern Michigan Medical Management | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Chris W Akins | Thoracic Surgery | Northern Michigan Medical Management | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Kristine A Cononico | Physician Assistant | Northern Michigan Medical Management | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Nathan Kaufman | Radiation Oncology | Petoskey Radiation Oncology Plc | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Find all physicians in zip 49770 | |||
| City | PETOSKEY |
| Zip Code | 49770 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PETOSKEY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Michelle R Gaudreau.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.