Individual
KYLE JOSEPH MANTHEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA, BSN, RN
Contact information
Practice address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-5500
(810) 667-5790
Mailing address
4055 HARBOR POINT DR, NORTON SHORES, MI 49441-4662
(810) 358-9364
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
105909
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
4704362710
MI
Other
Enumeration date
05/11/2020
Last updated
02/23/2023
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