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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:
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
Link:
View on NPI website
Authorized Person:
Name:
DR. MARLON B MICHEL
Role:
PRESIDENT
Phone:
8013693535
Taxonomy:
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes
Contacts:
Phone:
+1 801-369-3535
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