Individual
ROBERT JOHN BOURBONNAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 W. 13 MILE RD, ROYAL OAK, MI 48073-6769
(248) 898-5000
Mailing address
3601 W. 13 MILE RD, ROYAL OAK, MI 48073-6769
(248) 898-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704207523
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
6051
NC
Other
Enumeration date
02/20/2007
Last updated
10/08/2025
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