Individual
ANDRE GUY PULFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 966-4269
Mailing address
2762 PEMBROKE RD, BIRMINGHAM, MI 48009-7512
(248) 296-1688
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704267553REN17
MI
Other
Enumeration date
08/02/2018
Last updated
04/18/2023
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