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Individual

CLIFFORD L PARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5103
(313) 295-5363
Mailing address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5103
(313) 295-5363

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704219323
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4317370
MI
05
4500884
MI
Enumeration date
09/15/2006
Last updated
07/08/2007
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