Individual
MS. ADRENNE M WYGONIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3079 PEACHTREE INDUSTRIAL BLVD, ANESTHESIA HEALTHCARE PARTNERS/HBL ANESTHESIA SERVICES, DULUTH, GA 30097-2215
(678) 713-5847
(770) 945-5960
Mailing address
3035 LINDENWOOD DR, DEARBORN, MI 48120-1311
(313) 441-3083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704098999
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104323298
—
MI
01
—
AW098999
BLUE CROSS OF MI
MI
Enumeration date
07/28/2006
Last updated
10/14/2010
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