Organization
AMBULATORY ANESTHESIA SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK NOLD CRNA (PARTNER)
(248) 470-9986
Entity
Organization
Contact information
Practice address
64 STARR DR, TROY, MI 48083-1646
(248) 470-9986
(248) 565-2495
Mailing address
64 STARR DR, TROY, MI 48083-1646
(248) 470-9986
(248) 565-2495
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704226348
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704226348
NOLD LICENSE NUMBER
MI
Enumeration date
10/01/2010
Last updated
10/01/2010
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