Individual
WILLIAM G DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 HARRINGTON BLVD, MOUNT CLEMENS, MI 48043
(586) 493-8747
(586) 493-8741
Mailing address
1000 HARRINGTON BLVD, MOUNT CLEMENS, MI 48043
(586) 493-8747
(586) 493-8741
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704226096
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4838500
—
MI
Enumeration date
10/03/2006
Last updated
07/09/2025
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