TERESA K FATUM

GRAND RAPIDS, MI
NPI1255444931
Former NameTERESA K SHANK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704170665)
Enumeration Date2006-08-16
Last Update Date2014-07-03
Business Address
Ms. TERESA K FATUM CRNA
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9756
Phone number: 616-364-4200
Mailing Address
Ms. TERESA K FATUM CRNA
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9756
Phone number: 616-364-4200
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