IndividualActive
Alexander Martin
NPI 1437600012 · Certified Registered Nurse Anesthetist · Grand Rapids, MI
Provider details
- NPI number
- 1437600012
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4704282016 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
200 Jefferson Ave Se
Grand Rapids, MI 49503-4502
Phone: (616) 685-5000
Approximate (ZIP-level) locationGet directions
Mailing address
1820 44th St Se
Kentwood, MI 49508-5006
Registry dates
- Enumerated
- 2016-10-19
- Last updated
- 2016-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.