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1083275085
NATHAN BRYAN HANOVICH
LANSING, MI
NPI
1083275085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704295543)
Enumeration Date
2019-06-21
Last Update Date
2019-06-21
Business Address
NATHAN BRYAN HANOVICH CRNA
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-6000
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Mailing Address
NATHAN BRYAN HANOVICH CRNA
172 GARDEN CT
WHITMORE LAKE, MI 48189-9490
Phone number: 734-353-9416
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