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Organization

AMBULATORY ANESTHESIA SOLUTIONS

Active
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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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