Individual
MISS MARIN MARIE PELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(124) 885-8300
Mailing address
5833 ROWLEY BLVD, WATERFORD, MI 48329-3249
(248) 674-0501
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704234654
MI
Other
Enumeration date
02/14/2009
Last updated
02/14/2009
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