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Organization

AMERICAN ANESTHESIA ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID C WHITESELL CRNA (PARTNER)
(248) 797-2497
Entity
Organization

Contact information

Practice address
44521 WHITE PINE CIR W, NORTHVILLE, MI 48168-4356
(248) 797-2497
Mailing address
5623 E DUNBAR RD, MONROE, MI 48161-9127
(734) 241-3891
(734) 241-0014

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704103050
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704103050
STATE LICENSE
MI
Enumeration date
12/10/2012
Last updated
05/01/2013
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