Individual
MATHEW PAUL DAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-7600
Mailing address
PO BOX 67000, DEPT 203401, DETROIT, MI 48267-2034
(313) 745-7600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704193170
MI
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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