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1205380763
DEREK GELVEN
TRAVERSE CITY, MI
NPI
1205380763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704286642)
Enumeration Date
2016-08-12
Last Update Date
2016-08-12
Business Address
-- DEREK GELVEN SRNA
4100 PARK FOREST DR STE 210
TRAVERSE CITY, MI 49684-7306
Phone number: 231-392-8742
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Mailing Address
-- DEREK GELVEN SRNA
3617 BLAIR VALLEY DR
TRAVERSE CITY, MI 49685-7049
Phone number: 248-701-5575
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