Individual
MICHELE HUBERT WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
47700 ROBIN ST, SHELBY TWP, MI 48317-2458
(586) 419-4493
Mailing address
47700 ROBIN ST, SHELBY TWP, MI 48317-2458
(586) 419-4493
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704136171
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430F364420
BCBSM
MI
05
—
4593678
—
MI
Enumeration date
03/08/2006
Last updated
05/22/2019
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