Individual
STACEY RISSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(419) 251-3232
Mailing address
44254 FAIR OAKS DR, CANTON, MI 48187-3246
(734) 560-3985
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020717
OH
Other
Enumeration date
01/09/2023
Last updated
01/21/2023
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