Individual
DEREK GELVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
4100 PARK FOREST DR STE 210, TRAVERSE CITY, MI 49684-7306
(231) 392-8742
(231) 935-0747
Mailing address
3617 BLAIR VALLEY DR, TRAVERSE CITY, MI 49685-7049
(248) 701-5575
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704286642
MI
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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