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1073562161
PHILLIP D UNTHANK
SOUTHFIELD, MI
NPI
1073562161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704167210)
Enumeration Date
2006-05-08
Last Update Date
2011-12-28
Business Address
-- PHILLIP D UNTHANK CRNA
22401 FOSTER WINTER DR
SOUTHFIELD, MI 48075-3724
Phone number: 248-423-5100
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Mailing Address
-- PHILLIP D UNTHANK CRNA
19146 OUTER DR
DEARBORN, MI 48128-1863
Phone number: 313-278-4026
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