Individual
JEROME P SOHASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 E MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL, ANN ARBOR, MI 48109-5048
(734) 936-4280
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704178079
MI
367500000X
Certified Registered Nurse Anesthetist
RN263873
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4304452
—
MI
Enumeration date
07/15/2006
Last updated
01/13/2012
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