PHYLLIS UNTHANK

DETROIT, MI
NPI1821002379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704136444)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
-- PHYLLIS UNTHANK CRNA
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 952-442-9770
Mailing Address
-- PHYLLIS UNTHANK CRNA
PO BOX 67000 DEPT 203401
DETROIT, MI 48267-0002
Phone number: 952-442-9770
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