Individual
MR. MARK STEPHEN FYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22101 MOROSS RD, ANESTHESIA DEPT, DETROIT, MI 48236-2148
(313) 343-7075
Mailing address
17420 ROSEVILLE BLVD, ROSEVILLE, MI 48066-2866
(586) 445-1072
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704201153
MI
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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