Individual
MICHAEL P STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5450 FORT STREET, ANESTHESIA DEPARTMENT, TRENTON, MI 48183
(734) 671-3800
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3295
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704105824
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4162910
—
MI
Enumeration date
01/26/2007
Last updated
01/10/2019
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