Individual
JEANNINE DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
31923 BELLA VISTA DR, FARMINGTON HILLS, MI 48334-2827
(734) 673-5097
Mailing address
31923 BELLA VISTA DR, FARMINGTON HILLS, MI 48334-2827
(734) 673-5097
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704225099
MI
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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