Individual
KATHERINE MEMISEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6001 W OUTER DR, DETROIT, MI 48235-2614
(313) 966-3300
Mailing address
44629 CHARNWOOD DR, PLYMOUTH, MI 48170-3819
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704254657
MI
Other
Enumeration date
01/17/2018
Last updated
10/02/2019
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