Individual
TARISAI CHRISTOPHER MAKONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 345-8618
Mailing address
PO BOX 4095, KALAMAZOO, MI 49003-4095
(269) 345-8618
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
4704285674
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704285674
MI
Other
Enumeration date
03/31/2021
Last updated
06/30/2021
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