Carmen G Kislov CRNA

NPI 1063599876 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1063599876
Gender Female
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
33155 ANNAPOLIS ST
WAYNE MI, 48184-2405, US
Phone (734) 467-4667
Fax (734) 467-2303
Business Location
33155 ANNAPOLIS ST
WAYNE MI, 48184-2405, US
Phone (734) 467-4667
Fax (734) 467-2303
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704210733
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According to our database, Carmen G Kislov CRNA NPI is 1063599876, taxonomy code is 367500000X and license number is 4704210733, license state is located at Michigan. Carmen G Kislov CRNA physically located at 33155 Annapolis St, Wayne MI, 48184-2405. NPI Number Carmen G Kislov CRNA has the Individual type.

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1063599876 NPI number is provided on an as is basis without warranty of any kind. 1063599876 is maintained by the National Plan & Provider Enumeration System. The contents of Carmen G Kislov CRNA are for informational purposes only.