NATHAN BRYAN HANOVICH

LANSING, MI
NPI1083275085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704295543)
Enumeration Date2019-06-21
Last Update Date2019-06-21
Business Address
NATHAN BRYAN HANOVICH CRNA
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-6000
Mailing Address
NATHAN BRYAN HANOVICH CRNA
172 GARDEN CT
WHITMORE LAKE, MI 48189-9490
Phone number: 734-353-9416