Individual
EDWARDO THOMAS MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-1002
Mailing address
2313 PHILLIPS AVE, BERKLEY, MI 48072-1028
(248) 398-4581
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704200588
MI
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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