Individual
ASHLEY RACHELLE MIRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
750 STEPHENSON HWY, TROY, MI 48083-1103
(248) 577-3521
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704253349
MI
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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