Individual
ALICIA A MARABANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(524) 884-9580
(248) 849-5489
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(524) 884-9580
(248) 849-5489
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704224439
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4510521
—
MI
05
—
4730276
—
MI
Enumeration date
09/14/2006
Last updated
07/08/2007
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