Individual
PAUL RICHARD EMMONS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 671-3800
Mailing address
1865 BALDWIN CT, TRENTON, MI 48183-1908
(734) 306-6953
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4018129
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
4704260929
MI
Other
Enumeration date
06/13/2012
Last updated
11/06/2025
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