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Individual

CLAY B AWISHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8536
Mailing address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8536

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704229730
MI
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.12044
OH

Other

Enumeration date
11/30/2010
Last updated
04/22/2022
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