Individual
MR. MARK COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
205 NORTH EAST AVE, ANESTHESIA DEPARTMENT, JACKSON, MI 49201
(517) 788-4963
Mailing address
1189 BANDERA DRIVE, ANN ARBOR, MI 48103
(734) 995-9956
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704178623
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037212
CRNA/AANA
MI
Enumeration date
10/02/2006
Last updated
04/06/2021
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