David S Anderson CRNA

NPI 1629305925 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1629305925
Gender Male
Enumeration Date 11/06/2009
Last Updated 11/09/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1221 PINE GROVE AVE
PORT HURON MI, 48060-3511, US
Phone (810) 987-5000
Fax
Business Location
1221 PINE GROVE AVE
PORT HURON MI, 48060-3511, US
Phone (810) 987-5000
Fax
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704215828
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According to our database, David S Anderson CRNA NPI is 1629305925, taxonomy code is 367500000X and license number is 4704215828, license state is located at Michigan. David S Anderson CRNA physically located at 1221 Pine Grove Ave, Port Huron MI, 48060-3511. NPI Number David S Anderson CRNA has the Individual type.

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1629305925 NPI number is provided on an as is basis without warranty of any kind. 1629305925 is maintained by the National Plan & Provider Enumeration System. The contents of David S Anderson CRNA are for informational purposes only.