| NPI | 1588920771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN SIPOLA Credentialing COO Rdinator 517-364-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-19 |