| Robert J Peacock, CRNA | |
|
479 Lafayette St, Ionia, MI 48846-1834 | |
| (616) 527-4200 | |
| (616) 527-5731 |
| Full Name | Robert J Peacock |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 479 Lafayette St, Ionia, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912941865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704137243 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Peacock, CRNA Po Box 1001, Ionia, MI 48846-6001 Ph: (616) 527-4200 | Robert J Peacock, CRNA 479 Lafayette St, Ionia, MI 48846-1834 Ph: (616) 527-4200 |
Kenneth A Williams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 479 Lafayette St, Ionia, MI 48846 Phone: 616-527-4200 Fax: 616-527-5731 | |
Kimberly Fewins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3565 S State Rd, Ionia, MI 48846 Phone: 616-523-1498 |