Individual
BENJAMIN SYLVESTER BRANCH
Active
Individual
BENJAMIN SYLVESTER BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2076545
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704250925
MI LICENSE
MI
Enumeration date
04/10/2012
Last updated
06/07/2013
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