Individual
ROGER W ZANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22211 MORLEY AVE, DEARBORN, MI 48124-2110
(313) 492-5056
(313) 565-8156
Mailing address
22211 MORLEY AVE, DEARBORN, MI 48124-2110
(313) 492-5056
(313) 565-8156
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704118315
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104329540
—
MI
01
—
RZ118315
BLUE CROSS OF MI
MI
Enumeration date
07/31/2006
Last updated
11/15/2010
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