Mark Stephen Fyn CRNA

NPI 1669624201 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1669624201
Gender Male
Enumeration Date 10/14/2008
Last Updated 10/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
22101 MOROSS RD
ANESTHESIA DEPT
DETROIT MI, 48236-2148, US
Phone (313) 343-7075
Fax
Business Location
17420 ROSEVILLE BLVD
ROSEVILLE MI, 48066-2866, US
Phone (586) 445-1072
Fax
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704201153
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According to our database, Mr. Mark Stephen Fyn CRNA NPI is 1669624201, taxonomy code is 367500000X and license number is 4704201153, license state is located at Michigan. Mark Stephen Fyn CRNA physically located at 22101 Moross Rd, Detroit MI, 48236-2148. NPI Number Mark Stephen Fyn CRNA has the Individual type.

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1669624201 NPI number is provided on an as is basis without warranty of any kind. 1669624201 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Stephen Fyn CRNA are for informational purposes only.