Individual
MR. JEFFREY LEE TAASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
Mailing address
39831 PINEBROOK DR, STERLING HEIGHTS, MI 48310-2438
(586) 219-8499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704228567
MI
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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