Individual
MRS. ANDREA MARIE MUNERANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236
(313) 343-7075
Mailing address
22487 DANIELS ST, SAINT CLAIR SHORES, MI 48081-2409
(313) 779-0679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704244409
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704244409
MI
Other
Enumeration date
10/12/2011
Last updated
06/20/2018
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