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Individual

JEFFREY M KIRBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
(586) 263-2300
Mailing address
436 INDIAN LAKE CT, LAKE ORION, MI 48362-1667

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704310692
MI

Other

Enumeration date
12/23/2019
Last updated
12/23/2019
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