Individual
SUSAN M EGGL
Active
Individual
SUSAN M EGGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704124546
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568456309
—
MI
01
—
430056904
MEDICARE RAIL ROAD TSC
MI
01
—
430B810310
BCBS TSC
MI
Enumeration date
09/08/2005
Last updated
04/14/2015
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