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Individual

MRS. CATHERINE I DEVOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
30200 TELEGRAPH RD, STE 220, BINGHAM FARMS, MI 48025-4502
(248) 258-5058
Mailing address
750 E BELTLINE AVE NE STE 201A, GRAND RAPIDS, MI 49525-6046
(616) 477-3623

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704166585
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4070863
MI
01
430F364420
BCBSM
MI
Enumeration date
03/20/2006
Last updated
09/22/2025
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