Individual
MICHAEL RAYMOND IMBLEAU
Active
Individual
MICHAEL RAYMOND IMBLEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704234499
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704234499
REGISTERED NURSE LICENSE
MI
Enumeration date
11/22/2006
Last updated
07/08/2007
Update your record
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