Individual
SHERRY DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 HEMLOCK ST, TAWAS CITY, MI 48763-9237
(989) 362-0153
(989) 362-4683
Mailing address
PO BOX 779, TAWAS CITY, MI 48764-0779
(989) 362-0153
(989) 362-4683
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704153171
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1675653
—
MI
Enumeration date
12/05/2005
Last updated
03/12/2021
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