Individual
DAVID M BUCKERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2333 BIDDLE ST, WYANDOTTE, MI 48192-4668
(734) 324-3697
(734) 324-3425
Mailing address
5546 BRIAR GLEN DR, SALINE, MI 48176-9537
(313) 920-5412
(734) 712-5526
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704176487
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4144760
—
MI
Enumeration date
08/14/2006
Last updated
07/31/2007
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