Andrew Berdasono CRNA

NPI 1811974561 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1811974561
Gender Male
Enumeration Date 12/23/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
DETROIT MI, 48201-2153, US
Phone (952) 442-9770
Business Location
DEPT 203401
PO BOX 67000
DETROIT MI, 48267-0001, US
Phone (952) 442-9770
Fax (952) 442-3630
Taxonomy Code 367500000X
License State Michigan
License Number 4704226663
Remove 1811974561 NPI Number

According to our database, Andrew Berdasono CRNA NPI is 1811974561, taxonomy code is 367500000X and license number is 4704226663, license state is located at Michigan. Andrew Berdasono CRNA physically located at 4201 Saint Antoine St, Detroit MI, 48201-2153. NPI Number Andrew Berdasono CRNA has the Individual type.

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1811974561 NPI number is provided on an as is basis without warranty of any kind. 1811974561 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew Berdasono CRNA are for informational purposes only.