Individual
MICAH SCOTT DENOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 839-3000
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(844) 832-1956
(989) 633-5241
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704302446
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
RN711065
PA
Other
Enumeration date
07/05/2022
Last updated
04/23/2026
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