OrganizationActive
Amc Mobile Anesthesia, PC
NPI 1376868372 · Anesthesiology Physician · Grand Rapids, MI
Provider details
- NPI number
- 1376868372
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- West Michigan Anesthesia Anesthesia, PC
- Organization subpart
- Yes
- Authorized official
- James Vandam, Executive Director(616) 284-3100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3333 Evergreen Dr Ne
Grand Rapids, MI 49525-9493
Phone: (616) 284-3180
Fax: (616) 284-3181
Approximate (ZIP-level) locationGet directions
Mailing address
3333 Evergreen Dr Ne
Grand Rapids, MI 49525-9493
Other names (DBA / former)
- Other name
- Amc Mobile
Registry dates
- Enumerated
- 2010-04-01
- Last updated
- 2012-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.