Healthcare Provider Details

I. General information

NPI: 1912838079
Provider Name (Legal Business Name): CHALLENGE ANESTHESIA SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 KEVELING DR
SALINE MI
48176-1197
US

IV. Provider business mailing address

5800 WILLIS RD
YPSILANTI MI
48197-8921
US

V. Phone/Fax

Practice location:
  • Phone: 734-929-9331
  • Fax:
Mailing address:
  • Phone: 931-510-6229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JORDAN FLOWERS
Title or Position: AUTHORIZED REPRESENTATIVE
Credential:
Phone: 931-510-6229