Individual
MRS. MICHELLE RENEE ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
Mailing address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704260962
MI
Other
Enumeration date
01/17/2013
Last updated
02/24/2013
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