Individual
MR. MICHAEL DENNIS ROMANOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-2794
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-2794
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
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