Individual
SALLY C BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 W WESTERN AVE, SUITE B, MUSKEGON, MI 49440-1045
(231) 726-4498
Mailing address
5460 DOWLING ST, MONTAGUE, MI 49437-9333
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704270802
MI
367500000X
Certified Registered Nurse Anesthetist
AP130107
TX
Other
Enumeration date
03/21/2016
Last updated
01/28/2017
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