Individual
RONNYA PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1000
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 876-4806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704308942
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704308942
MI
Other
Enumeration date
11/10/2021
Last updated
08/08/2023
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