Individual
PHILIP ROSS LEPINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 987-5000
Mailing address
911 GEORGIA AVE, MARYSVILLE, MI 48040-1277
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704270813
MI
Other
Enumeration date
09/08/2017
Last updated
03/17/2018
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