Individual
CAROL L BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 473-1000
Mailing address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 473-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704228783
MI
Other
Enumeration date
01/11/2008
Last updated
10/12/2020
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