Individual
CORINNE MARIE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
(313) 916-9867
Mailing address
1287 KIRTS BLVD APT 212, TROY, MI 48084-4807
(313) 214-1519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704348569
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704348569
MI
Other
Enumeration date
08/30/2021
Last updated
10/24/2024
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