Individual
KELLY MICHELLE PATRELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 BYRON RD, HOWELL, MI 48843-1002
(517) 545-6000
Mailing address
27944 BRANDYWINE RD, FARMINGTON HILLS, MI 48334-3418
(248) 310-5478
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704257720
MI
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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