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1952400905
GLENN PATRICK O'CONNOR
DETROIT, MI
NPI
1952400905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704171310)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
Mr. GLENN PATRICK O'CONNOR CRNA
2799 W GRAND BLVD DEPARTMENT OF ANESTHESIOLOGY
DETROIT, MI 48202-2608
Phone number: 313-916-7648
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Mailing Address
Mr. GLENN PATRICK O'CONNOR CRNA
622 N RENAUD
GROSSE POINTE WOODS, MI 48236-1722
Phone number: 313-415-0880
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