Individual
STEVEN L PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22401 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3724
(248) 423-5100
Mailing address
15540 PROMENADE AVE, ALLEN PARK, MI 48101-1123
(313) 388-5837
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704138637
MI
Other
Enumeration date
05/10/2006
Last updated
12/09/2011
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