MICHAEL RAYMOND IMBLEAU

PORT HURON, MI
NPI1295800449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704234499)
Enumeration Date2006-11-22
Last Update Date2007-07-08
Business Address
-- MICHAEL RAYMOND IMBLEAU crna
1221 PINE GROVE AVE
PORT HURON, MI 48060-3511
Phone number: 810-989-3754
Mailing Address
-- MICHAEL RAYMOND IMBLEAU crna
1221 PINE GROVE AVE
PORT HURON, MI 48060-3511
Phone number: 810-989-3754