Individual
MICHAEL C MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12375 INDIAN PLACE DR, CHARLEVOIX, MI 49720-9347
(231) 547-2496
(231) 547-2823
Mailing address
12375 INDIAN PLACE DR, CHARLEVOIX, MI 49720-9347
(231) 547-2496
(231) 547-2823
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704113930
MI
Other
Enumeration date
09/20/2005
Last updated
04/15/2010
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