Individual
BROGAN RISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 839-3000
Mailing address
2708 SCOTT ST, MIDLAND, MI 48642-4712
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704345099
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704345099
MI
Other
Enumeration date
03/23/2023
Last updated
06/11/2024
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