Individual
IMRANA SABANOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
28474 TIFFIN DR, CHESTERFIELD, MI 48047-6203
(586) 722-3111
Mailing address
28474 TIFFIN DR, CHESTERFIELD, MI 48047-6203
(586) 722-3111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4703112430
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4703112430
MI
Other
Enumeration date
08/06/2014
Last updated
11/13/2024
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