Individual
MR. DAVID L POEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
212 S SULLIVAN AVE, FREMONT, MI 49412-1548
(231) 924-1359
Mailing address
7288 W LAKE DR, FREMONT, MI 49412-8111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704114153
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704114153
STATE LICENSE
MI
Enumeration date
11/03/2006
Last updated
07/08/2007
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