Individual
MR. MICHAEL DENNIS ROMANOW
Active
Individual
MR. MICHAEL DENNIS ROMANOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704116239
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M58250
MEDICARE GROUP
MI
05
—
1033102462
—
MI
01
—
430B810310
BCBS
MI
01
—
CG1308
MEDICARE RAILROAD
MI
Enumeration date
08/31/2005
Last updated
06/13/2014
Update your record
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