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1073797312
TINA ELLIS WISE
ANN ARBOR, MI
NPI
1073797312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704221271)
Enumeration Date
2007-12-21
Last Update Date
2020-09-14
Business Address
TINA ELLIS WISE CRNA
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone number: 734-936-4000
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Mailing Address
TINA ELLIS WISE CRNA
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299
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