National Provider Identifier
Michael James Petsch, CRNA
Michael James Petsch, CRNA is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist in Niagara Falls, NY and a listed phone number of (716) 278-4000.
Profile Overview
- NPI
- 1033165626
- Provider Type
- Individual
- Primary Specialty
- Certified Registered Nurse Anesthetist
- Enumeration Date
- May 25, 2006
- Last Updated
- May 21, 2025
Practice Location
- 621 10Th St
- Niagara Falls, NY 14301-1813
Phone: (716) 278-4000
Mailing Address
- PO Box 845347
- Dallas, TX 75284-5347
Specialties
- Certified Registered Nurse Anesthetist (367500000X)
- Certified Registered Nurse Anesthetist (367500000X)
Full Record
- NPI
- 1033165626
- Entity Type
- Individual
- Last Name
- Petsch
- First Name
- Michael
- Middle Name
- James
- Credential
- CRNA
- Mailing Street Address
- PO Box 845347
- Mailing City
- Dallas
- Mailing State
- TX
- Mailing ZIP Code
- 75284-5347
- Mailing Country
- US
- Mailing Phone
- (214) 648-7833
- Mailing Fax
- (214) 648-6799
- Practice Street Address
- 621 10Th St
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14301-1813
- Practice Country
- US
- Practice Phone
- (716) 278-4000
- Enumeration Date
- May 25, 2006
- Last Updated
- May 21, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 21, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Certified Registered Nurse Anesthetist (367500000X), Certified Registered Nurse Anesthetist (367500000X)