COREY J LANDACRE

GRAND RAPIDS, MI
NPI1760742977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704266020)
Enumeration Date2012-05-22
Last Update Date2014-07-03
Business Address
Mr. COREY J LANDACRE CRNA
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9493
Phone number: 616-364-4200
Mailing Address
Mr. COREY J LANDACRE CRNA
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9493
Phone number: 616-364-4200