Individual
KRISTEN LYNNE WARNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
44136 DUCHESS DR, CANTON, MI 48187-3242
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4704297361
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704297361
MI
Other
Enumeration date
07/14/2019
Last updated
10/11/2019
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