JOHN PEMBERTON

OAK PARK, MI
NPI1093406514
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704327563)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MI  4704327563)
Enumeration Date2023-05-16
Last Update Date2023-08-24
Business Address
JOHN PEMBERTON CRNA
23491 NORWOOD ST
OAK PARK, MI 48237-2203
Phone number: 248-495-9694
Mailing Address
JOHN PEMBERTON CRNA
23491 NORWOOD ST
OAK PARK, MI 48237-2203
Phone number: 248-495-9694