MILTON JAMES DESGRANDCHAMP

GROSSE POINTE FARMS, MI
NPI1124116181
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704158813)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
Mr. MILTON JAMES DESGRANDCHAMP CRNA
255 LEWISTON RD
GROSSE POINTE FARMS, MI 48236-3450
Phone number: 313-530-6603
Mailing Address
Mr. MILTON JAMES DESGRANDCHAMP CRNA
PO BOX 36775
GROSSE POINTE, MI 48236-0775
Phone number: 313-530-6603