Organization
COMPREHENSIVE ANESTHESIA & PERIOPERATIVE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES E VANDEPUTTE CRNA (PRESIDENT)
(248) 842-6968
Entity
Organization
Contact information
Practice address
29201 TELEGRAPH RD STE 315, SOUTHFIELD, MI 48034
(888) 209-0305
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(888) 209-0305
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704175683
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430F374030
BCBS GROUP PIN
MI
Enumeration date
02/03/2006
Last updated
08/26/2019
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