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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