KEVIN J SOUTHWAY

MOUNT CLEMENS, MI
NPI1407009335
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704244110)
Enumeration Date2008-10-23
Last Update Date2008-10-23
Business Address
-- KEVIN J SOUTHWAY CRNA
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043-2920
Phone number: 586-493-8747
Mailing Address
-- KEVIN J SOUTHWAY CRNA
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043-2920
Phone number: 586-493-8747
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