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Individual

MICHAEL D SCALISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5103
(313) 592-5363
Mailing address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5103
(313) 592-5363

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704132283
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4311751
MI
Enumeration date
09/15/2006
Last updated
07/08/2007
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