| NPI | 1225394133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN SIPOLA Credentialing Coordinator 517-364-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |