Individual
DONNA A DZIALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1101 WEST UNIVERSITY DRIVE, CRITTENTON HOSPITAL MEDICAL CENTER, ROCHESTER, MI 48307-1863
(248) 652-5354
(248) 652-5861
Mailing address
5717 CANNES DR, STERLING HEIGHTS, MI 48314-1342
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704210409
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11909797
CAQH
MI
01
—
430F364550
BCBS
MI
05
—
4368763
—
MI
Enumeration date
01/19/2007
Last updated
06/26/2012
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