Individual
MICHAEL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 FORD PL # 4E, DETROIT, MI 48202-3450
(313) 874-6256
Mailing address
1 FORD PL # 4E, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704226014
MI
Other
Enumeration date
01/26/2007
Last updated
09/19/2018
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