Individual
FRANK R MICIELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1040 W JEFFERSON ST, BROWNSVILLE, TX 78520-6338
(956) 698-5400
(956) 698-5713
Mailing address
8249 ELLIS CREEK DR, CLARKSTON, MI 48348-2621
(248) 821-1661
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
673693
TX
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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