Individual
MARISSA WOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
15445 MARKESE AVE, ALLEN PARK, MI 48101-1960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704288976
MI
Other
Enumeration date
12/20/2019
Last updated
02/21/2025
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