Individual
MRS. MARILYN JO STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-5320
Mailing address
5301 MCAULEY DR, YPSILANTI, MI 48197
(734) 712-3840
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704120644
MI
Other
Enumeration date
12/12/2006
Last updated
04/24/2008
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