Individual
MICHELLE FASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6361 CONIFER DR, YPSILANTI, MI 48197-3218
(616) 881-3858
Mailing address
6361 CONIFER DR, YPSILANTI, MI 48197-3218
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704276083
MI
Other
Enumeration date
10/03/2016
Last updated
10/04/2016
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