Individual
MS. JENNIFER LYNN GRUITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 BROCKTON AVE, ROYAL OAK, MI 48067-3568
(248) 217-7416
Mailing address
2216 BROCKTON AVE, ROYAL OAK, MI 48067-3568
(248) 217-7416
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704234814
MI
Other
Enumeration date
01/15/2008
Last updated
04/07/2011
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