Individual
MR. STANLEY M. MICHELCAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2601 ELECTRIC AVE, PORT HURON, MI 48060-6587
(810) 985-1500
(810) 966-3104
Mailing address
2614 FARMDALE DR, STERLING HEIGHTS, MI 48314-3868
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704151696
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425219610
—
MI
01
—
P100918
BCN
MI
01
—
SM151696
BLUE CROSS
MI
Enumeration date
09/26/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us