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Individual

MR. RAYMOND GEORGE CAPWELL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
10 FAUST CT, ANN ARBOR, MI 48108-0010
(734) 417-2702
Mailing address
10 FAUST CT, ANN ARBOR, MI 48108-0010
(734) 417-2702

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R122898-8
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R122898-8
MN

Other

Enumeration date
06/21/2005
Last updated
01/24/2013
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