Individual
TERESA A DURIGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CENTER RECP G, ANN ARBOR, MI 48109-0222
(734) 763-5828
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704138269
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104300767
—
MI
05
—
3047833
—
MI
05
—
4207190
—
MI
05
—
4310914
—
MI
01
—
TE138269
BLUE CROSS OF MI
MI
Enumeration date
06/29/2006
Last updated
06/03/2014
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