Individual
CRAIG MICHAEL OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-1000
Mailing address
821 BRISTOL CIR, GRAND LEDGE, MI 48837-2328
(616) 583-2475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
240598
WI
163W00000X
Registered Nurse
2463300
IA
163W00000X
Registered Nurse
2463300
MN
163W00000X
Registered Nurse
Primary
4704315188
MI
367500000X
Certified Registered Nurse Anesthetist
240598
WI
Other
Enumeration date
08/28/2020
Last updated
06/26/2022
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