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MD ANESTHESIA, LLC

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Company Details

Legal Name: MD ANESTHESIA, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 30th 2014
Date of Dissolution: May 15th 2017
Expiration date: 31 Mar 2017
UBI Number: 603 389 933
ZIP code: 99223
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3210 E DIANE CT, SPOKANE, WA, 99223, UNITED STATES

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Registered Agent Information

Name Role Address
JOHN HEUSNER Registered Agent 3210 E DIANE CT, SPOKANE, WA, 99223-0000, UNITED STATES

Key Officers & Management

Name Role
JOHN HEUSNER Governing Person

National Provider Identifier

NPI Number:
1891011284

Authorized Person:

Name:
DR. MARLON B MICHEL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

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