NICHOLAS REBEL

DETROIT, MI
NPI1053719278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704259964)
Enumeration Date2014-12-22
Last Update Date2014-12-22
Business Address
-- NICHOLAS REBEL CRNA
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-460-7469
Mailing Address
-- NICHOLAS REBEL CRNA
23305 LEIGHWOOD DR
WOODHAVEN, MI 48183-2773
Phone number: 734-624-3488
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