Individual
DANIELLE BENDOK MALOUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNAP/CRNA
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
(248) 858-3022
Mailing address
3622 HERON RIDGE DR, ROCHESTER HILLS, MI 48309-4520
(248) 212-4225
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704345781
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704345781
MI
Other
Enumeration date
11/13/2019
Last updated
10/05/2022
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