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Organization

CMM ANESTHESIA LLC

Active
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Organization

CMM ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER YOUST CRNA (PRESIDENT)
(734) 241-3891
Entity
Organization

Contact information

Practice address
5623 E DUNBAR RD, MONROE, MI 48161-9127
(734) 241-3891
(734) 241-0014
Mailing address
64 STARR DR, TROY, MI 48083-1646
(734) 241-3891
(734) 241-0014

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704232638
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
PENDING
MI
Enumeration date
07/16/2009
Last updated
10/01/2009
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