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

Individual provider Certified Registered Nurse Anesthetist · NPI 1932744091

Sean S Vanderwaal is a Certified Registered Nurse Anesthetist (CRNA) in Ann Arbor, Michigan. Qualified in 2022, 4 years ago. Practices with Promedica Central Physicians, a 784-clinician group and works from 2 locations. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2019
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Practice location Address checks out

2006 Hogback Rd Ste 5A
Ann Arbor, MI 48105-9750
Phone: (734) 263-2417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2799 W Grand Blvd, Detroit, MI 48202-2689 — (586) 243-5355

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704327749 (MI)

Record details

NPI number1932744091
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 13, 2019
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Ann Arbor