Individual
GREGORY ALLEN O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3185
(248) 849-2386
Mailing address
2131 CALLIE DR, COMMERCE TOWNSHIP, MI 48390-3267
(248) 926-8049
(248) 849-2386
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704155044
MI
Other
Enumeration date
06/02/2006
Last updated
07/09/2007
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