Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Anesthesia

Organization Certified Registered Nurse Anesthetist · NPI 1518062256

Great Lakes Anesthesia is a Certified Registered Nurse Anesthetist in Watervliet, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

400 Medical Park Dr
Watervliet, MI 49098-9225
Phone: (734) 241-3891
Fax: (734) 241-0014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704189375 (MI)

Record details

NPI number1518062256
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Clingerman — President · (734) 241-3891
NPI enumeratedSeptember 14, 2006
Last updated in NPPESAugust 20, 2013
Mailing address5623 E Dunbar Rd, Monroe, MI 48161-9127