Individual
CAROL C RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4550 INVESTMENT DR STE 100, TROY, MI 48098-6334
(248) 265-4600
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704167359
MI
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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