| NPI | 1689983116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK NOLD Partner 248-470-9986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704226348) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |