Individual
MRS. STEPHANIE MARISSA ZILLICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3840
Mailing address
3726 CREEKSIDE CT, ANN ARBOR, MI 48105-9570
(989) 430-7176
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704217720
MI
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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