Individual
MARY BROSSOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, BEAUMONT CRNA RO, ROYAL OAK, MI 48073-6712
(248) 898-7784
Mailing address
130 TOWN CENTER DR STE 203, BEAUMONT MEDICAL STAFF AFFAIRS, TROY, MI 48084-1744
(248) 585-8216
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704187463
MI
Other
Enumeration date
01/14/2016
Last updated
10/31/2018
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