Individual
SEAN MICHAEL KOERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2172
(313) 343-3370
Mailing address
14414 MAISANO DR, STERLING HEIGHTS, MI 48312-6635
(586) 604-6630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704290703
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704290703
MI
Other
Enumeration date
07/30/2018
Last updated
09/18/2018
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