Individual
LAURA IRENE STILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6831
(989) 894-3000
Mailing address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6831
(989) 894-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704242493
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430Z910820
BLUE CROSS
—
Enumeration date
11/28/2008
Last updated
11/28/2008
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