Individual
LOUISE ANN MINORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 343-1684
Mailing address
130 TOWN CENTER DR, STE 203, TROY, MI 48084-1744
(313) 343-1684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704136815
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487719357
—
MI
05
—
4354150
—
MI
05
—
4601537
—
MI
Enumeration date
12/22/2006
Last updated
10/20/2023
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