ROBERT MYRON FEDOROW

GRAND BLANC, MI
NPI1033668850
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704280907)
Enumeration Date2016-09-22
Last Update Date2016-09-22
Business Address
-- ROBERT MYRON FEDOROW CRNA
1 GENESYS PKWY
GRAND BLANC, MI 48439-8065
Phone number: 586-524-0854
Mailing Address
-- ROBERT MYRON FEDOROW CRNA
1506 STREAMWOOD CT
ROCHESTER HILLS, MI 48309-3389
Phone number: 586-524-0854
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