Individual
SUSAN BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,CRNA
Contact information
Practice address
72 S STATE ST, SHELBY, MI 49455-1228
(231) 861-2156
(231) 861-3028
Mailing address
72 S STATE ST, SHELBY, MI 49455-1228
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704139595
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4380070
—
MI
Enumeration date
07/07/2006
Last updated
07/09/2007
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