Individual
JEREMY BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1101 W UNIVERSITY DR, ROCHESTER, MI 48307-1863
(248) 652-5000
Mailing address
55692 FRANCIS DR, SHELBY TOWNSHIP, MI 48316-5427
(158) 625-6243
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704293799
MI
Other
Enumeration date
09/09/2019
Last updated
09/12/2019
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