Individual
MR. STEVEN ANTHONY KISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704242507
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704242507
MI
Other
Enumeration date
07/20/2009
Last updated
11/06/2019
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