Individual
REID COMPAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MUNSON MEDICAL CENTER, 1105 SIXTH STREET, TRAVERSE CITY, MI 49684
(231) 935-7690
Mailing address
258 JOY ST, PLYMOUTH, MI 48170-1942
(616) 405-1158
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
4704314888
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704314888
MI
Other
Enumeration date
06/19/2023
Last updated
08/18/2023
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