Individual
CORY MAX CAINCROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-7836
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.461658
OH
367500000X
Certified Registered Nurse Anesthetist
0020415
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
4704308233
MI
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.0020415
OH
Other
Enumeration date
10/02/2021
Last updated
04/02/2026
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