Individual
ALICIA SKOOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
32745 OAKLEY ST, LIVONIA, MI 48154-3537
(217) 390-8646
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209027054
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
4704352693
MI
Other
Enumeration date
10/03/2022
Last updated
06/03/2025
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