Whalio Doctors

NPI 1013941921

Michele L Mack, CRNA

Practitioner Certified Registered Nurse Anesthetist Dearborn, MI

Practice location

Address
18100 Oakwood Blvd Suite 100, Dearborn, MI 48124-4085
Phone
(313) 253-2000

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 4704172231 (MI)

Registry record

NPI
1013941921
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jul 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.