Individual
MICHAEL D BELLE ISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
116 QUAIL RUN DR, WINFIELD, AL 35594-5965
(205) 412-2655
Mailing address
116 QUAIL RUN DR, WINFIELD, AL 35594-5965
(205) 412-2655
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1080417
AL
367500000X
Certified Registered Nurse Anesthetist
180519
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051568
—
NC
Enumeration date
07/08/2005
Last updated
02/20/2008
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