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Individual

MS. MARLA BRIT MEADOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
6004 RELIABLE PARKWAY LOCKBOX CHI 866004, CHICAGO, IL 60686-4113
(734) 263-2400

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.441303
IL
367500000X
Certified Registered Nurse Anesthetist
209.014843
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
47014284618
MI

Other

Enumeration date
06/24/2016
Last updated
02/13/2020
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