Individual
JENNIFER C GHERASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-3607
Mailing address
PO BOX 67000 DEPT 203401, DETROIT, MI 48267-0001
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704254836
MI
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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