Individual
JEREMY JOSEPH LAFAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
420 W MAGNETIC ST, ANESTHESIA DEPARTMENT, MARQUETTE, MI 49855-2711
(906) 225-3595
(906) 225-3697
Mailing address
420 W MAGNETIC ST, ANESTHESIA DEPARTMENT, MARQUETTE, MI 49855-2711
(906) 225-3595
(906) 225-3697
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704259319
MI
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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