Individual
MITCHELL REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4100 PARK FOREST DR, SUITE 210, TRAVERSE CITY, MI 49684-7331
(231) 935-5770
(231) 935-0747
Mailing address
4100 PARK FOREST DR, SUITE 210, TRAVERSE CITY, MI 49684-7331
(231) 935-5770
(231) 935-0747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
47404282268
MI
367500000X
Certified Registered Nurse Anesthetist
209023353
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
4704282268
MI
367500000X
Certified Registered Nurse Anesthetist
APRN11020059
FL
Other
Enumeration date
03/05/2015
Last updated
01/06/2025
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