Individual
STEPHANIE TAKAHASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-5261
Mailing address
30107 GLORIA ST, SAINT CLAIR SHORES, MI 48082-1686
(586) 994-1800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704276629
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704276629
MI
Other
Enumeration date
07/09/2021
Last updated
04/26/2023
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