Raymond Johnson CRNA

NPI 1609807080 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1609807080
Gender Male
Enumeration Date 07/05/2006
Last Updated 06/22/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
6071 W OUTER DR
DETROIT MI, 48235-2624, US
Phone (952) 442-9770
Fax
Business Location
PO BOX 67000
DETROIT MI, 48267-0001, US
Phone (952) 442-9770
Fax (952) 442-3630
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704164114
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According to our database, Raymond Johnson CRNA NPI is 1609807080, taxonomy code is 367500000X and license number is 4704164114, license state is located at Michigan. Raymond Johnson CRNA physically located at 6071 W Outer Dr, Detroit MI, 48235-2624. NPI Number Raymond Johnson CRNA has the Individual type.

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1609807080 NPI number is provided on an as is basis without warranty of any kind. 1609807080 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond Johnson CRNA are for informational purposes only.