Individual
MARY LYNN MEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-5806
(248) 849-5489
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-5806
(248) 849-5489
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704189465
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
95001604
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4546201
—
MI
Enumeration date
09/14/2006
Last updated
03/23/2022
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