Individual
MICHELLE INGALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
205 N EAST AVE, ANESTHESIA DEPARTMENT - CRNA, JACKSON, MI 49201-1753
(517) 780-4963
(517) 780-7352
Mailing address
205 N EAST AVE, ANESTHESIA DEPARTMENT - CRNA, JACKSON, MI 49201-1753
(517) 780-4963
(517) 780-7352
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704267590
MI
367500000X
Certified Registered Nurse Anesthetist
AP141750
TX
Other
Enumeration date
01/29/2016
Last updated
06/12/2019
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