Individual
WILLIAM GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
30671 STEPHENSON HWY, MADISON HEIGHTS, MI 48071-1635
(952) 442-9770
Mailing address
DEPT 203401, PO BOX 67000, DETROIT, MI 48267-0001
(952) 442-9770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704198561
MI
367500000X
Certified Registered Nurse Anesthetist
D175496
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104666406
—
MI
01
—
WG198561
BLUE CROSS OF MI
MI
Enumeration date
05/30/2006
Last updated
02/27/2024
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