| Mrs Susan Owen Rutherford, CRNA | |
|
3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | |
| (616) 364-4200 | |
| (616) 364-7347 |
| Full Name | Mrs Susan Owen Rutherford |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3333 Evergreen Dr Ne, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598728636 | NPI | - | NPPES |
| 104349131 | Medicaid | MI | |
| 430D110990 | Other | MI | BCBS GROUP BILL PIN |
| CE1952 | Other | MI | RAILROAD GROUP |
| 0875931 | Other | MI | BCBS PIN |
| 430044534 | Other | MI | RAILROAD MEDICARE |
| SR207135 | Other | MI | BCBS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704207135 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susan Owen Rutherford, CRNA 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 364-4200 | Mrs Susan Owen Rutherford, CRNA 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 364-4200 |
Anne Marie Talbot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-6063 Fax: 616-685-3092 | |
Mrs. Lindsay E Mckelvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347 | |
Ms. Majerle Bunce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347 | |
Mrs. Heather M Montgomery-kanitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347 | |
Courtney Kolanowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000 | |
Mr. Patrick James Evans, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347 | |
Mr. Brent Zukoff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1774 |