Individual
MELISSA ANN HENTSCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-1890
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-1890
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704195888
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430F364420
BCBSM
MI
05
—
4730392
—
MI
Enumeration date
02/28/2006
Last updated
09/05/2013
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