Individual
JEREMIE NATHAN RENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, RN
Contact information
Practice address
1527 LONG MEADOW TRL, ANN ARBOR, MI 48108-9633
(989) 992-5779
Mailing address
1527 LONG MEADOW TRL, ANN ARBOR, MI 48108-9633
(989) 992-5779
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704328516
MI
390200000X
Student in an Organized Health Care Education/Training Program
4704328516
MI
Other
Enumeration date
05/09/2022
Last updated
12/16/2024
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