Individual
BONITA K EMPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
28500 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48334-2936
(952) 442-9770
Mailing address
DEPARTMENT 4676, CAROL STREAM, IL 60122-4676
(952) 442-9770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704084743
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104411363
—
MI
01
—
BM084743
BLUE CROSS OF MI
MI
Enumeration date
01/18/2006
Last updated
04/05/2011
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