MICHAEL R. LICATA

ROYAL OAK, MI
NPI1356884746
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704272498)
Enumeration Date2016-12-02
Last Update Date2016-12-02
Business Address
Mr. MICHAEL R. LICATA CRNA
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-7784
Mailing Address
Mr. MICHAEL R. LICATA CRNA
130 TOWN CENTER DR 203
TROY, MI 48084-1744
Phone number: 248-585-8250
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