Individual
WILLIAM R GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
703 N MCEWAN ST, CLARE, MI 48617-1440
(989) 802-5000
Mailing address
3192 MINERAL SPRINGS TRL, MT PLEASANT, MI 48858-9663
(989) 773-2851
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704123266
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4590040
—
MI
Enumeration date
08/07/2006
Last updated
07/09/2007
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