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

Northern Anesthesia Providers PC

Organization Anesthesiology Physician · NPI 1396834628

Northern Anesthesia Providers PC is an Anesthesiology Physician in Petoskey, Michigan. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

602 Jackson St
Petoskey, MI 49770-2220
Phone: (231) 348-2795
Fax: (231) 348-2031
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1396834628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mytch Vanderlooven — Office Manager · (231) 348-2795
NPI enumeratedOctober 12, 2006
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025
Mailing address602 Jackson St, Petoskey, MI 49770-2220

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