Individual
EDWARD GAZARYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
Mailing address
1904 KALAMA AVE, ROYAL OAK, MI 48067-4075
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704321785
MI
Other
Enumeration date
01/22/2022
Last updated
07/07/2023
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