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Individual

KARL THULIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
44201 DEQUINDRE RD, ANESTHESIA, TROY, MI 48085-1117
(248) 577-3521
Mailing address
750 STEPHENSON HWY, WILLIAM BEAUMONT HOSPITAL, TROY, MI 48083-1103
(248) 577-3521

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704114462
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2734481
MI
01
430F364420
BCBSM
MI
Enumeration date
03/23/2006
Last updated
04/20/2011
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