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Individual

LISA ANN IRWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 EAST MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL, ANN ARBOR, MI 48109-5048
(734) 936-4280
(734) 936-9091
Mailing address
2006 HOGBACK RD, SUITE 5A, ANN ARBOR, MI 48105-9750
(734) 786-4989
(734) 786-4977

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301094154
MI
390200000X
Student in an Organized Health Care Education/Training Program
MI

Other

Enumeration date
06/08/2009
Last updated
03/03/2017
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