Individual
RUTHANN MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TWP, MI 48382-2201
(952) 442-9770
(952) 442-3620
Mailing address
PO BOX 67000, DEPT 203401, DETROIT, MI 48267-0002
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704134839
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104299890
—
MI
01
—
RM134839
BLUE CROSS OF MI
MI
Enumeration date
01/11/2006
Last updated
06/27/2019
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