Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1275541997
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4190, 24th Avenue, Fort Gratiot Township, Saint Clair County, Michigan, 48059, United States
FORT GRATIOT, MI 480593882
Phone: (810) 989-7649
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48059)
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