Individual
EDUARDO NATAVIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4526 PEPPERMILL LN, LAKE ORION, MI 48359-2069
(248) 391-2831
Mailing address
4526 PEPPERMILL LN, LAKE ORION, MI 48359-2069
(952) 442-9770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704219887
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104566554
—
MI
01
—
EN219887
BLUE CROSS OF MI
MI
Enumeration date
04/27/2006
Last updated
09/14/2009
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