Individual
RONALD CRAIG CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-2655
Mailing address
142 GOLDNER AVE, WATERFORD, MI 48328-2851
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L984063
MI
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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