Individual
MICHELLE Y MCCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704209908
MI
367500000X
Certified Registered Nurse Anesthetist
RN266724
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000709124
ANTHEM
OH
Enumeration date
03/16/2011
Last updated
02/22/2023
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