Individual
JESSICA ALTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 NORTH EAST AVENUE, ANESTHESIA DEPARTMENT, JACKSON, MI 49201
(517) 205-4963
Mailing address
1742 CEDAR LN, ANN ARBOR, MI 48105-9272
(734) 255-9947
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704278645
MI
Other
Enumeration date
05/11/2017
Last updated
03/31/2021
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